Active NPI
Shiigi Drug Co., Inc.
- Durable Medical Equipment & Medical Supplies
- Hilo, HI
National Provider Identifier
1528023777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PHY-169
- Legal business name
- SHIIGI DRUG CO., INC.
- Practice address
- 333 Kilauea Ave
Hilo, HI 96720-3013 - Phone
- (808) 935-0001
- Fax
- (808) 969-9833
- NPI assigned
- Apr 19, 2006
- Last updated
- Aug 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louis H Matsukado, RPH
- Title
- President Owner
- Phone
- (808) 935-0001
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHY-169 | HI | Primary |
| Community/Retail Pharmacy | 3336C0003X | PHY-169 | HI |
Addresses
Primary practice location
333 Kilauea Ave
Hilo, HI 96720-3013
Mailing address
333 Kilauea Ave
Hilo, HI 96720-3013
Phone (808) 935-0001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P7893 | Other | HI | HMSA |
| 57251201 | Medicaid | HI | |
| 00791901 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071217000113 | HI | Part B Supplier - Public Health/Welfare Agency | 3870533599 | Practice locations: Hilo, HI |
| O20100930065349 | HI | DME Supplier - Pharmacy | 3870533599 | Practice locations: Hilo, HI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Shiigi Drug Co Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
333 Kilauea Ave
Hilo, HI 96720
Phone (808) 935-0001
333 Kilauea Ave
Ste 102
Hilo, HI 96720
Phone (808) 935-0001
333 Kilauea Ave
Ste 109
Hilo, HI 96720
Phone (808) 935-0001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344988800000",
"number": "1528023777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 KILAUEA AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967203013",
"telephone_number": "808-935-0001",
"fax_number": "808-969-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 KILAUEA AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967203013",
"telephone_number": "808-935-0001",
"fax_number": "808-969-9833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIIGI DRUG CO., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2012-08-15",
"status": "A",
"authorized_official_last_name": "MATSUKADO",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "808-935-0001",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "HI",
"license": "PHY-169",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "HI",
"license": "PHY-169",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "P7893",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57251201",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00791901",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.