Wallace-Jones, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY-567 Issued in HI

Legal business name

WALLACE-JONES, INC

Doing business as

Haiku Pharmacy

Practice address

810 Haiku Rd
Ste 127
Haiku, HI 96708-4800

Phone

(808) 575-7522

Fax

(808) 575-2198

NPI assigned

Jun 13, 2005

Last updated

Feb 13, 2008By 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

Mr. Thomas Paul Jones, R.PH.

Title

President, Pharmacist

Phone

(808) 575-7522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haiku Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1851395289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HAIKU RD",
            "address_2": "STE 127",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967084800",
            "telephone_number": "808-575-7522",
            "fax_number": "808-575-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HAIKU RD",
            "address_2": "STE 127",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967084800",
            "telephone_number": "808-575-7522",
            "fax_number": "808-575-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE-JONES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT, PHARMACIST",
        "authorized_official_telephone_number": "808-575-7522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "PHY-567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07918801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haiku Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.