Active NPI
Qsi Inc
Doing business as Times Pharmacy #3
- Community/Retail Pharmacy
- Kailua, HI
National Provider Identifier
1598863524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY631
- Legal business name
- QSI INC
- Doing business as
- Times Pharmacy #3
- Practice address
- 590 Kailua Rd
Kailua, HI 96734-2827 - Phone
- (808) 266-2702
- Fax
- (808) 266-2706
- NPI assigned
- Sep 21, 2006
- Last updated
- Mar 9, 2016
- 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
- Richard Mejia, RPH
- Title
- Pharmacy Operations Manager
- Phone
- (808) 832-8255
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHY631 | HI | Primary |
Addresses
Primary practice location
590 Kailua Rd
Kailua, HI 96734-2827
Mailing address
PO Box 29960
Honolulu, HI 96820-2360
Phone (808) 831-5886
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08472101 | Medicaid | HI | |
| 2018728 | Other | PK | |
| 1203102 | Medicaid | HI |
Other names 1
- Times Pharmacy #3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051205000753 | HI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7517987530 |
13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kaneohe, HI; Waipahu, HI; Pearl City, HI; Lahaina, HI; Kailua, HI; Honolulu, HI; Aiea, HI |
Other NPIs on the same Medicare enrollment 13
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Times Pharmacy #12
- Community/Retail Pharmacy
- Pearl City, HI
- NPI 1144328170
O20051205000753
-
dba Times Pharmacy #11
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1417055443
O20051205000753
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Kailua, HI
- NPI 1932307907
-
- Pharmacist
- Kailua, HI
- NPI 1780992131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457481600000",
"number": "1598863524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29960",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968202360",
"telephone_number": "808-831-5886",
"fax_number": "808-831-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 KAILUA RD",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342827",
"telephone_number": "808-266-2702",
"fax_number": "808-266-2706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QSI INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2016-03-09",
"status": "A",
"authorized_official_last_name": "MEJIA",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
"authorized_official_telephone_number": "808-832-8255",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "HI",
"license": "PHY631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08472101",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2018728",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1203102",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Times Pharmacy #3",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.