Organization Active NPI

Pharm Neut Inc

  • Community/Retail Pharmacy
  • Pahoa, HI
National Provider Identifier
1801965389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARM NEUT INC
Practice address
#1 Government Rd
Pahoa, HI 96778-1433
Phone
(808) 965-7535
Fax
(808) 965-6159
NPI assigned
Nov 7, 2006
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
Mrs. Bonnie G Prebula
Title
Corp Pres V Pres
Phone
(808) 965-5629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

#1 Government Rd
Pahoa, HI 96778-1433

Mailing address

PO Box 1433
#1 Government Rd
Pahoa, HI 96778-1433
Phone (808) 965-7535

Other identifiers 11

IdentifierTypeStateIssuer
NABP1202667OtherRX SOLUTIONS
02592601MedicaidHI
NABP1202667OtherEXPRESS SCRIPTS
NABP1202667028900001OtherARGUS
NABP0001202667OtherRX AMERICA
NABP1202667OtherRESTAT
000001342NABP1202667OtherCAREMARK
NABP1202667OtherWALGREENS HEALTH INITATIV
NABP1202667OtherPROSERV
0000228007OtherHMSA
1202667OtherMEMBER HEALTH INC

Other names 1

  • Pahoa Rx Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aina Haina RX Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801965389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1433",
            "address_2": "#1 GOVERNMENT RD",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967781433",
            "telephone_number": "808-965-7535",
            "fax_number": "808-965-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 GOVERNMENT RD",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967781433",
            "telephone_number": "808-965-7535",
            "fax_number": "808-965-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM NEUT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREBULA",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CORP PRES V PRES",
        "authorized_official_telephone_number": "808-965-5629",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX SOLUTIONS",
            "identifier": "NABP1202667",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02592601",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXPRESS SCRIPTS",
            "identifier": "NABP1202667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARGUS",
            "identifier": "NABP1202667028900001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX AMERICA",
            "identifier": "NABP0001202667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESTAT",
            "identifier": "NABP1202667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREMARK",
            "identifier": "000001342NABP1202667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALGREENS HEALTH INITATIV",
            "identifier": "NABP1202667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSERV",
            "identifier": "NABP1202667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000228007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMBER HEALTH INC",
            "identifier": "1202667",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pahoa Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pahoa, 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.