Organization Active NPI

Pacific Choice, LLC

  • Durable Medical Equipment & Medical Supplies
  • Waipahu, HI
National Provider Identifier
1689806770
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PACIFIC CHOICE, LLC
Practice address
94-408 Akoki St
Suite 205
Waipahu, HI 96797-2733
Phone
(808) 678-3668
Fax
(808) 678-3669
NPI assigned
Aug 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Mrs. Sarah M Suzuki, RN
Title
Managing Partner
Phone
(808) 678-3668

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

94-408 Akoki St
Suite 205
Waipahu, HI 96797-2733

Mailing address

94-408 Akoki St
Suite 205
Waipahu, HI 96797-2733
Phone (808) 678-3668

Other identifiers 2

IdentifierTypeStateIssuer
1689806770MedicaidHI
514065MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Pacific Choice LLC2 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.

Locations

94-408 Akoki St
Ste 205
Waipahu, HI 96797
Phone (808) 678-3668

NPI Registry JSON

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1689806770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-408 AKOKI ST",
            "address_2": "SUITE 205",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972733",
            "telephone_number": "808-678-3668",
            "fax_number": "808-678-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-408 AKOKI ST",
            "address_2": "SUITE 205",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972733",
            "telephone_number": "808-678-3668",
            "fax_number": "808-678-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CHOICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-22",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "SUZUKI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "808-678-3668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689806770",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514065",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.