Active NPI
5 Minute Pharmacy LLC
- Community/Retail Pharmacy
- Waipahu, HI
National Provider Identifier
1588988257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY-783
- Legal business name
- 5 MINUTE PHARMACY LLC
- Doing business as
- 5 Minute Pharmacy, LLC
- Practice address
- 94-216 Farrington Hwy Ste B1-102
Waipahu, HI 96797-1922 - Phone
- (808) 677-5550
- Fax
- (808) 677-5553
- NPI assigned
- Mar 24, 2010
- 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
- Jill Tengan, PHARMD
- Title
- Member
- Phone
- (808) 677-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY-783 | HI | Primary |
Addresses
Primary practice location
94-216 Farrington Hwy Ste B1-102
Waipahu, HI 96797-1922
Mailing address
94-216 Farrington Hwy Ste 102
Waipahu, HI 96797-1900
Phone (808) 677-5550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 642951-01 | Medicaid | HI | |
| 2124939 | Other | PK |
Other names 1
- 5 Minute Pharmacy, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110113000839 | HI | Part B Supplier - Mass Immunization (Roster Biller Only) | 3678762101 | Practice locations: Waipahu, HI |
| O20241001003937 | HI | Part B Supplier - Pharmacy | 3678762101 | Practice locations: Waipahu, HI |
National Provider Directory
National Provider DirectoryLocations
916 Gulick Ave
Ste A
Honolulu, HI 96819
Phone (808) 845-5550
94-216 Farrington Hwy
Ste 102
Waipahu, HI 96797
Phone (808) 630-8388
94-216 Farrington Hwy
Waipahu, HI 96797
Phone (808) 383-8643
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387411200000",
"number": "1588988257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-216 FARRINGTON HWY STE 102",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971900",
"telephone_number": "808-677-5550",
"fax_number": "808-677-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-216 FARRINGTON HWY STE B1-102",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971922",
"telephone_number": "808-677-5550",
"fax_number": "808-677-5553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "5 MINUTE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-24",
"last_updated": "2013-12-19",
"status": "A",
"authorized_official_last_name": "TENGAN",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "808-677-5550",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "HI",
"license": "PHY-783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "642951-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2124939",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "5 Minute Pharmacy, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waipahu, HI
- 3 Sisters Incontinent Supplies
- 5 Minute Pharmacy LLC (5 Minute Pharmacy)
- 5 Minute Pharmacy LTC LLC (5 Minute Pharmacy Long Term Care)
- 5 Minute Pharmacy LTC LLC (5 Minute Pharmacy Long Term Care)
- 5 Minute Pharmacy Specialty, LLC (5 Minute Pharmacy Specialty)
- 88 Lokomaikai Inc (Universal Care Of Hawaii)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.