University of Hawaii at Manoa

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY-832 Issued in HI

Legal business name

UNIVERSITY OF HAWAII AT MANOA

Doing business as

University of Hawaii at Hilo Student Medical Service

Practice address

200 W Kawili St
Hilo, HI 96720-4075

Phone

(808) 932-7369

NPI assigned

Sep 22, 2009

Last updated

Aug 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mimi Pezzuto

Title

Pharmacist in Charge

Phone

(808) 932-7369

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• University of Hawaii at Hilo Student Medical Service Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Hyperbaric Treatment Ce7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

• Kauai Community College

  • Clinic/Center
  • Lihue, HI
  • NPI 1467889295
  NPD tax ID
• Uh-Hilo Student Medical Services

  • Health Service Clinic/Center
  • Hilo, HI
  • NPI 1386929933
  NPD tax ID
• University Health Services Manoa

  • Clinic/Center
  • Honolulu, HI
  • NPI 1669532875
  NPD tax ID
• University of Hawaii at Manoa

  dba University of Hawaii Student Health Services

  • Clinic Pharmacy
  • Honolulu, HI
  • NPI 1104866854
  NPD tax ID
• University of Hawaii at Manoa

  dba UH Manoa Sports Medicine

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1669860219
  NPD tax ID
• University of Hawaii Maui Community College

  dba Maui Oral Health Center Initiative

  • Dental Clinic/Center
  • Wailuku, HI
  • NPI 1518012434
  NPD tax ID

Locations

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1629302773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W KAWILI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204075",
            "telephone_number": "808-932-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W KAWILI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204075",
            "telephone_number": "808-932-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF HAWAII AT MANOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "PEZZUTO",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "808-932-7369"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY-832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Hawaii at Hilo Student Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Germaine H Uehara, DDS
• Jill O Uehara, DDS
• Uh-Hilo Student Medical Services
• Osato Ukponmwan, MD
• Unicare Hawaii, Incorporated
• John K Uohara, MD
• Mariah Urushiyama, RN
• Usrc Hilo, LLC (U.S. Renal Care Hilo Dialysis)
• Brittney Utomi
• Dayton Ak Uyeda, ATC

• Community/Retail Pharmacy in Hilo, HI
• Providers in Hilo, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.