Organization Active NPI

5 Minute Pharmacy LLC

  • Long Term Care Pharmacy
  • Waipahu, HI
National Provider Identifier
1942903620
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
5 MINUTE PHARMACY LLC
Doing business as
5 Minute Pharmacy
Practice address
94-216 Farrington Hwy Ste B1-102
Waipahu, HI 96797-1922
Phone
(808) 677-5550
Fax
(808) 677-5553
NPI assigned
Mar 23, 2023
Organization subpart
Yes
Parent organization
5 MINUTE PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Derek M Tengan, PHARM.D.
Title
Member
Phone
(808) 677-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

94-216 Farrington Hwy Ste B1-102
Waipahu, HI 96797-1922

Mailing address

94-449 Akoki St Ste 102
Waipahu, HI 96797-2732
Phone (808) 677-5550

Other identifiers 1

IdentifierTypeStateIssuer
642951MedicaidHI

Other names 1

  • 5 Minute Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
5 Minute Pharmacy LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1942903620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-449 AKOKI ST STE 102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972732",
            "telephone_number": "808-677-5550",
            "fax_number": "808-677-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY STE B1-102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-677-5550",
            "fax_number": "808-677-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 MINUTE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "5 MINUTE PHARMACY LLC",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "TENGAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-677-5550",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642951",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5 Minute Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "5 Minute Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.