NPIMap

Organization Active NPI

J.G.N.a. Corp

Doing business as D.A. Pharmacy

  • Community/Retail Pharmacy
  • Laie, HI
National Provider Identifier
1851401921
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY-553 Issued in HI
Legal business name
J.G.N.A. CORP
Doing business as
D.A. Pharmacy
Practice address
55-510 Kamehameha Hwy
Suite 13
Laie, HI 96762-1138
Phone
(808) 293-1600
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
James J.E. FongNPI 1124130497
Title
President
Phone
(808) 293-1600

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
Community/Retail Pharmacy 3336C0003X PHY-553 HI Primary

Addresses

Primary practice location

55-510 Kamehameha Hwy
Suite 13
Laie, HI 96762-1138

Mailing address

55-510 Kamehameha Hwy
Suite 13
Laie, HI 96762-1138
Phone (808) 293-1600

Other identifiers 2

IdentifierTypeStateIssuer
07501901MedicaidHI
1203506OtherNABP

Other names 1

  • D.A. Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

55-510 Kamehameha Hwy
Ste 13
Laie, HI 96762
Phone (808) 293-1600

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851401921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY",
            "address_2": "SUITE 13",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621138",
            "telephone_number": "808-293-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY",
            "address_2": "SUITE 13",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621138",
            "telephone_number": "808-293-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.G.N.A. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-293-1600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY-553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07501901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1203506",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D.A. Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laie, 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.