NPIMap

Organization Active NPI

Castle Medical Center

  • Community/Retail Pharmacy
  • Kaneohe, HI
National Provider Identifier
1679540264
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY531 Issued in HI
Legal business name
CASTLE MEDICAL CENTER
Practice address
46 001 Kamehameha Hwy
Suite 108
Kaneohe, HI 96744
Phone
(808) 263-5090
Fax
(808) 247-1785
NPI assigned
Mar 2, 2006
Organization subpart
Yes
Parent organization
CASTLE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Nicolas Johnson
Title
Cfo
Phone
(808) 263-5142

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY531 HI Primary

Addresses

Primary practice location

46 001 Kamehameha Hwy
Suite 108
Kaneohe, HI 96744

Mailing address

46 001 Kamehameha Hwy
Suite 108
Kaneohe, HI 96744
Phone (808) 263-5093

Other identifiers 3

IdentifierTypeStateIssuer
1202136OtherNCPDP (NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS)
2018180OtherPK
08205901MedicaidHI

Other names 1

  • ADVENTIST HEALTH CASTLE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125000912 HI Part B Supplier - Pharmacy 6608762778 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kailua, HI; Kaneohe, HI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Castle Memorial Hospita10 organizations share this tax ID, including this one
Part of
Castle Memorial Hospita

Other organizations with this tax ID 9

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

Locations

642 Ulukahiki St
Ste 305
Kailua, HI 96734
Phone (808) 261-6644

407 Uluniu St
Ste 104
Kailua, HI 96734
Phone (808) 263-3389

46-001 Kamehameha Hwy
Ste 102
Kaneohe, HI 96744
Phone (808) 233-1100

46-001 Kamehameha Hwy
Ste 201
Kaneohe, HI 96744
Phone (808) 247-2828

46-001 Kamehameha Hwy
Ste 108
Kaneohe, HI 96744
Phone (818) 263-5090

55-510 Kamehameha Hwy
Ste 521
Laie, HI 96762
Phone (808) 293-8558

55-510 Kamehameha Hwy
Ste 21
Laie, HI 96762
Phone (808) 263-5015

30 Kupaoa St
Ste 205
Makawao, HI 96768
Phone (808) 263-5009

Practitioners & affiliated clinicians

Practitioners 113

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

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1679540264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 001 KAMEHAMEHA HWY",
            "address_2": "SUITE 108",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "96744",
            "telephone_number": "808-263-5093",
            "fax_number": "808-263-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 001 KAMEHAMEHA HWY",
            "address_2": "SUITE 108",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "96744",
            "telephone_number": "808-263-5090",
            "fax_number": "808-247-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE MEDICAL CENTER",
        "enumeration_date": "2006-03-02",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-263-5142"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP (NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS)",
            "identifier": "1202136",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018180",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08205901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTIST HEALTH CASTLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVENTIST HEALTH CASTLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.