NPIMap

Organization Active NPI

Foodland Lab #38

  • Clinical Medical Laboratory
  • Kamuela, HI
National Provider Identifier
1760872261
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14-CP1-362 Issued in HI
Legal business name
FOODLAND LAB #38
Practice address
67-1185 Mamalahoa Hwy
Kamuela, HI 96743-7304
Phone
(808) 885-2075
Fax
(808) 885-2061
NPI assigned
Feb 4, 2015
Last updated
Feb 4, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
FOODLAND SUPERMARKET LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Jaclyn Moore, PHARMDNPI 1073669354
Title
Lab Director
Phone
(808) 885-2075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14-CP1-362 HI Primary

Addresses

Primary practice location

67-1185 Mamalahoa Hwy
Kamuela, HI 96743-7304

Mailing address

67-1185 Mamalahoa Hwy
Kamuela, HI 96743-7304
Phone (808) 885-2075

National Provider Directory

National Provider Directory
Tax ID family
Foodland Super Market Limited9 organizations share this tax ID, including this one
Part of
Foodland Super Market Limited

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1760872261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-1185 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437304",
            "telephone_number": "808-885-2075",
            "fax_number": "808-885-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-1185 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437304",
            "telephone_number": "808-885-2075",
            "fax_number": "808-885-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODLAND LAB #38",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOODLAND SUPERMARKET LTD.",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "808-885-2075",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "HI",
            "license": "14-CP1-362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.