NPIMap

Organization Active NPI

Mina Pharmacy LLC

Doing business as Mina Pharmacy # 15

  • Point of Service
  • Honolulu, HI
National Provider Identifier
1659760734
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
PHY-813 Issued in HI
Legal business name
MINA PHARMACY LLC
Doing business as
Mina Pharmacy # 15
Practice address
3375 Koapaka St
Suite F245
Honolulu, HI 96819-1800
Phone
(808) 222-9252
Fax
(808) 356-3392
NPI assigned
Jan 13, 2015
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mr. Adel Etinas, RPH
Title
President,Ceo
Phone
(808) 222-9252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X PHY-813 HI Primary

Addresses

Primary practice location

3375 Koapaka St
Suite F245
Honolulu, HI 96819-1800

Mailing address

275 W Kaahumanu Ave
Suite# 1C01A
Kahului, HI 96732-1629
Phone (808) 856-3070

Other names 1

  • Mina Pharmacy # 15 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mina Pharmacy 142 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1659760734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W KAAHUMANU AVE",
            "address_2": "SUITE# 1C01A",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321629",
            "telephone_number": "808-856-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA ST",
            "address_2": "SUITE F245",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191800",
            "telephone_number": "808-222-9252",
            "fax_number": "808-356-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "ETINAS",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PRESIDENT,CEO",
        "authorized_official_telephone_number": "808-222-9252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "HI",
            "license": "PHY-813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mina Pharmacy # 15",
            "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 Jan 13, 2015; 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.