NPIMap

Organization Active NPI

Kau Community Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Pahala, HI
National Provider Identifier
1700928413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY-585 Issued in HI
Legal business name
KAU COMMUNITY PHARMACY, INC.
Practice address
96-1115 Kamani Street
Suite 36
Pahala, HI 96777
Phone
(808) 928-6252
Fax
(808) 928-6408
NPI assigned
Feb 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Floyd W. Barty, D.M.D.
Title
President
Phone
(808) 732-8826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY-585 HI Primary

Addresses

Primary practice location

96-1115 Kamani Street
Suite 36
Pahala, HI 96777

Mailing address

PO Box 299
Pahala, HI 96777-0299
Phone (808) 928-6252

Other identifiers 5

IdentifierTypeStateIssuer
01273701MedicaidHI
0000080846OtherHIHMSA QUEST
1202504OtherNABP
000008084-6OtherHIHMSA
1202504OtherNCPDP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700928413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "PAHALA",
            "state": "HI",
            "postal_code": "967770299",
            "telephone_number": "808-928-6252",
            "fax_number": "808-928-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96-1115 KAMANI STREET",
            "address_2": "SUITE 36",
            "city": "PAHALA",
            "state": "HI",
            "postal_code": "96777",
            "telephone_number": "808-928-6252",
            "fax_number": "808-928-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAU COMMUNITY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTY",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-732-8826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY-585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01273701",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST",
            "identifier": "0000080846",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1202504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "000008084-6",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1202504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahala, HI

Sources for this page

  • 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.