Lihue Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY647 Issued in HI

Legal business name

LIHUE PHARMACY INC

Doing business as

Lihue Pharmacy

Practice address

4491 Kolopa St Ste a
Suite a
Lihue, HI 96766-2021

Phone

(808) 246-9100

Fax

(808) 246-9199

NPI assigned

Dec 21, 2005

Last updated

Sep 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Glick, RPHNPI 1104316215

Title

President

Phone

(808) 246-9100

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• LIHUE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in HI2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Kevin Craig Glick, R.PH.

  • Ambulatory Care Pharmacist
  • Lihue, HI
  • NPI 1104316215
  NPD (past) Authorized official
• Kyren Ishikawa, PHARMD

  • Pharmacist
  • Lihue, HI
  • NPI 1366107294
  NPD (past)
• Rachel Ann Legaspi, PHARM.D.

  • Pharmacist
  • Hilo, HI
  • NPI 1710405402
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1821074972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 KOLOPA ST STE A",
            "address_2": "SUITE A",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662021",
            "telephone_number": "808-246-9100",
            "fax_number": "808-246-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 KOLOPA ST STE A",
            "address_2": "SUITE A",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662021",
            "telephone_number": "808-246-9100",
            "fax_number": "808-246-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIHUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-246-9100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "PHY647",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546301",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019371",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIHUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lihue Pharmacy Inc (Lihue Pharmacy)
• Angela Lim, LICSW
• Deanne M Lind, LMT
• Bunnie Lehuanani Lo, MS, LMHC
• James R Lockyer, M.D.
• Meghan Long, DPT

• Pharmacy in Lihue, HI
• Providers in Lihue, HI by specialty
• Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.