Organization Active NPI

Novaderm Crown Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
National Provider Identifier
1609706118
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NOVADERM CROWN SOLUTIONS LLC
Practice address
438 Hobron LN PH 1
Honolulu, HI 96815-1238
Phone
(888) 406-8099
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Patrice Nicole BlackmonNPI 1891622460
Title
Manager
Phone
(888) 406-8099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

438 Hobron LN PH 1
Honolulu, HI 96815-1238

Mailing address

438 Hobron LN PH 1
Honolulu, HI 96815-1238
Phone (888) 406-8099

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1609706118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN PH 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151238",
            "telephone_number": "888-406-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN PH 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151238",
            "telephone_number": "888-406-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVADERM CROWN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-406-8099"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.