North Shore Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY155 Issued in HI

Legal business name

NORTH SHORE PHARMACY

Practice address

56-119 Pualalea St
Kahuku, HI 96731-2052

Phone

(808) 293-9514

Fax

(808) 293-8699

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harry Carold Bjornson

Title

Registered Pharmacist

Phone

80829399514

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669429239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967310385",
            "telephone_number": "808-293-9514",
            "fax_number": "808-293-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-119 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-9514",
            "fax_number": "808-293-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BJORNSON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "CAROLD",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "80829399514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04408201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kori Napa'a, LCSW
• Luisa Niutupuivaha
• North Shore Mental Health, Inc
• North Shore Mental Health, Inc
• North Shore Mental Health, Inc.
• North Shore Pysical Therapy & Sports Rehab LLC
• Elizabeth J. Nowland, BA
• Sunny Otake, HEALTH INSTRUCTOR
• Tyrah Padeken
• Joy K. Pahia-Miramontez

• All providers in Kahuku, HI
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.