NPIMap

Organization Active NPI

Queens Development Corporation & Subsidiaries

Doing business as Queens Pob III Pharmacy

  • Clinic Pharmacy
  • Honolulu, HI
National Provider Identifier
1639851306
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
QUEENS DEVELOPMENT CORPORATION & SUBSIDIARIES
Doing business as
Queens Pob III Pharmacy
Queen's POB 3 Pharmacy
Practice address
550 S Beretania St Ste 102
Honolulu, HI 96813-2423
Phone
(808) 691-8925
Fax
(808) 691-8926
NPI assigned
Aug 2, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Dr. Gavin Sanjume, PHARMD
Title
Pharmacy Director
Phone
(808) 691-4342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

550 S Beretania St Ste 102
Honolulu, HI 96813-2423

Mailing address

550 S Beretania St Ste 102
Honolulu, HI 96813-2423
Phone (808) 691-8925

Other names 2

  • QUEENS POB III PHARMACY Doing business as
  • Queen's POB 3 Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Queens Development Corp17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1639851306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132423",
            "telephone_number": "808-691-8925",
            "fax_number": "808-691-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132423",
            "telephone_number": "808-691-8925",
            "fax_number": "808-691-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS DEVELOPMENT CORPORATION & SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "SANJUME",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "808-691-4342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUEENS POB III PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "QUEENS POB III PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Queen's POB 3 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2023; 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.