Mina Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY800 Issued in HI

Legal business name

MINA CORPORATION

Practice address

98-020 Kam Hwy #2E
Aiea, HI 96701-5159

Phone

(808) 275-4400

Fax

(808) 484-2600

NPI assigned

May 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Adel Etinas

Title

President

Phone

(808) 738-4540

Specialties & licenses 1

Addresses

Other names 1

• Mina Pharmacy #12 Doing business as

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1720370646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA STREET",
            "address_2": "SUITE F245",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191816",
            "telephone_number": "808-738-4540",
            "fax_number": "808-690-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-020 KAM HWY #2E",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015159",
            "telephone_number": "808-275-4400",
            "fax_number": "808-484-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "ETINAS",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-738-4540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mina Pharmacy #12",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael S Mihara, M.D.
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• Kersten T Milligan, MD
• Sandra L Milotta, PT
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• Danrie Miral
• Arlene Miranda-Funtanilla, QCSW, LSW
• Brian A Misaka, PSYD
• Baleigh Mitchell

• Community/Retail Pharmacy in Aiea, HI
• Providers in Aiea, HI by specialty
• Community/Retail Pharmacy in Hawaii

• 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.