NPIMap

Organization Active NPI

Queen's Development Corporation & Subsidiaries

Doing business as Queen's POB I Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
National Provider Identifier
1881695476
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PHY-470 Issued in HI
Legal business name
QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
Doing business as
Queen's POB I Pharmacy
Practice address
1380 Lusitana St
Honolulu, HI 96813-2449
Phone
(808) 547-4745
Fax
(808) 547-4064
NPI assigned
Aug 3, 2005
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Mr. Scott Whiting
Title
President
Phone
(808) 691-1980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHY-470 HI Primary
Pharmacy 333600000X PHY-470 HI

Addresses

Primary practice location

1380 Lusitana St
Honolulu, HI 96813-2449

Mailing address

1380 Lusitana St
Street Level
Honolulu, HI 96813-2449
Phone (808) 691-4745

Other identifiers 4

IdentifierTypeStateIssuer
085392-01OtherHIHMSA - BLUE CROSS/BLUE SH
085392-01MedicaidHI
1201451OtherHINCPDP NUMBER
1201451OtherHINABP NUMBER

Other names 1

  • Queen's POB I Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930073053 HI DME Supplier - Pharmacy 7810912292 Practice locations: Honolulu, HI
O20190711003591 HI Part B Supplier - Pharmacy 7810912292 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ewa Beach, HI; Honolulu, HI
O20201231001736 HI Part B Supplier - Mass Immunization (Roster Biller Only) 7810912292 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ewa Beach, HI; Honolulu, HI

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Queen's Pob I Pharmacy1380 Lusitana St, Honolulu, HI 96813-2449(808) 691-4745 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2008

National Provider Directory

National Provider Directory
Tax ID family
Queens Development Corp17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1329 Lusitana St
Ste 101
Honolulu, HI 96813
Phone (808) 691-4560

95-1249 Meheula Pkwy
Ste 129
Mililani, HI 96789
Phone (808) 623-2435

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1881695476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "STREET LEVEL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-691-4745",
            "fax_number": "808-691-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-547-4745",
            "fax_number": "808-547-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-691-1980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "PHY-470",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "PHY-470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA - BLUE CROSS/BLUE SH",
            "identifier": "085392-01",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085392-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1201451",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1201451",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen's POB I Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.