NPIMap

Organization Active NPI

Puna Plantation Hawaii, LTD.

Doing business as KTA Puainako Pharmacy

  • Community/Retail Pharmacy
  • Hilo, HI
National Provider Identifier
1821188327
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY413 Issued in HI
Legal business name
PUNA PLANTATION HAWAII, LTD.
Doing business as
KTA Puainako Pharmacy
Practice address
50 E Puainako St
Hilo, HI 96720-5242
Phone
(808) 959-8700
Fax
(808) 959-7559
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Toby B Taniguchi
Title
President
Phone
(808) 989-5466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY413 HI Primary

Addresses

Primary practice location

50 E Puainako St
Hilo, HI 96720-5242

Mailing address

50 E Puainako St
Hilo, HI 96720-5242
Phone (808) 959-8700

Other identifiers 2

IdentifierTypeStateIssuer
08453401MedicaidHI
102639OtherHIMEDICARE MASS IMMUNIZ ROS

Other names 1

  • KTA Puainako Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930087735 HI DME Supplier - PharmacyDME Supplier - Grocery Store 7113027145 Practice locations: Hilo, HI
O20170906000844 HI Part B Supplier - Pharmacy 7113027145 4 other NPIs on this enrollment
Practice locations: Hilo, HI; Kailua Kona, HI; Kamuela, HI; Waikoloa, HI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1821188327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E PUAINAKO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205242",
            "telephone_number": "808-959-8700",
            "fax_number": "808-959-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E PUAINAKO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205242",
            "telephone_number": "808-959-8700",
            "fax_number": "808-959-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNA PLANTATION HAWAII, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TANIGUCHI",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-989-5466"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08453401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZ ROS",
            "identifier": "102639",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KTA Puainako Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KTA Puainako Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.