The Pharmacy Group, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY-778 Issued in HI

Legal business name

THE PHARMACY GROUP, INC.

Doing business as

Makawao Town Pharmacy

Practice address

1120 Makawao Avenue
Makawao, HI 96768

Phone

(808) 573-1055

Fax

(808) 573-8819

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Cheryl Ann Sloan

Title

Compliance Officer

Phone

(808) 877-6222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Makawao Town Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1750618708",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1120 MAKAWAO AVENUE",
            "city": "MAKAWAO",
            "state": "HAWAII",
            "postal_code": "96768",
            "telephone_number": "808-573-1055",
            "fax_number": "808-573-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MAKAWAO AVENUE",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "96768",
            "telephone_number": "808-573-1055",
            "fax_number": "808-573-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHARMACY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "808-877-6222"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY-778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHY-778",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Makawao Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Makawao Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Makawao, HI
• Providers in Makawao, 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 6, 2023; 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.