NPIMap

Organization Active NPI

Leeward Drug LTD

Doing business as Waipahu Drug

  • Pharmacy
  • Waipahu, HI
National Provider Identifier
1538158258
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
123 Issued in HI
Legal business name
LEEWARD DRUG LTD
Doing business as
Waipahu Drug
Practice address
94-748 Hikimoe St
Suite a
Waipahu, HI 96797-3350
Phone
(808) 677-0794
Fax
(808) 677-1199
NPI assigned
Oct 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terrence Young
Title
President
Phone
(808) 677-0794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 123 HI Primary

Addresses

Primary practice location

94-748 Hikimoe St
Suite a
Waipahu, HI 96797-3350

Mailing address

94-748 Hikimoe St
Suite a
Waipahu, HI 96797-3350
Phone (808) 677-0794

Other identifiers 1

IdentifierTypeStateIssuer
08574401MedicaidHI

Other names 1

  • Waipahu Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Waipahu Drug3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

94-748 Hikimoe St
Ste A
Waipahu, HI 96797
Phone (808) 677-0794

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538158258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-748 HIKIMOE ST",
            "address_2": "SUITE A",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973350",
            "telephone_number": "808-677-0794",
            "fax_number": "808-677-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-748 HIKIMOE ST",
            "address_2": "SUITE A",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973350",
            "telephone_number": "808-677-0794",
            "fax_number": "808-677-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWARD DRUG LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-677-0794"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08574401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waipahu Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.