NPIMap

Organization Active NPI

Benuelli Brothers, Inc.

Doing business as Northshore Pharmacy

  • Community/Retail Pharmacy
  • Kilauea, HI
National Provider Identifier
1942241823
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY-434 Issued in HI
Legal business name
BENUELLI BROTHERS, INC.
Doing business as
Northshore Pharmacy
Practice address
2460 Oka St
Kilauea, HI 96754-5308
Phone
(808) 828-1844
Fax
(808) 828-2866
NPI assigned
Jun 9, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Magdi Latif, RPH
Title
President
Phone
(808) 828-1844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY-434 HI Primary

Addresses

Primary practice location

2460 Oka St
Kilauea, HI 96754-5308

Mailing address

2460 Oka St
Kilauea, HI 96754-5308
Phone (808) 828-1844

Other identifiers 1

IdentifierTypeStateIssuer
00102401MedicaidHI

Other names 1

  • Northshore Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2460 Oka St
Ste 100
Kilauea, HI 96754
Phone (808) 826-1844

Interoperability endpoints

  • Direct secure messaging: martha.harkey@hawaiihie.medicity.net

Practitioners & affiliated clinicians

Practitioners 5

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1942241823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OKA ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545308",
            "telephone_number": "808-828-1844",
            "fax_number": "808-828-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 OKA ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545308",
            "telephone_number": "808-828-1844",
            "fax_number": "808-828-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENUELLI BROTHERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "MAGDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-828-1844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY-434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00102401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northshore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kilauea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.