NPIMap

Organization Active NPI

Foodland Lab #24

  • Clinical Medical Laboratory
  • Makawao, HI
National Provider Identifier
1902297351
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14-CP1-356 Issued in HI
Legal business name
FOODLAND LAB #24
Practice address
55 Pukalani St
Makawao, HI 96768-8544
Phone
(808) 572-8266
Fax
(808) 572-0144
NPI assigned
Feb 6, 2015
Organization subpart
Yes
Parent organization
FOODLAND SUPERMARKET LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Jaclyn Moore, PHARM D
Title
Lab Director
Phone
(808) 885-2075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14-CP1-356 HI Primary

Addresses

Primary practice location

55 Pukalani St
Makawao, HI 96768-8544

Mailing address

55 Pukalani St
Makawao, HI 96768-8544
Phone (808) 572-8266

National Provider Directory

National Provider Directory
Tax ID family
Foodland Pharmacy 249 organizations share this tax ID, including this one
Part of
Foodland Pharmacy 24

Other organizations with this tax ID 8

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

Locations

55 Pukalani St
Makawao, HI 96768
Phone (808) 572-8266

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1902297351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PUKALANI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688544",
            "telephone_number": "808-572-8266",
            "fax_number": "808-572-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PUKALANI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688544",
            "telephone_number": "808-572-8266",
            "fax_number": "808-572-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODLAND LAB #24",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOODLAND SUPERMARKET LTD.",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "808-885-2075",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "HI",
            "license": "14-CP1-356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.