Active NPI
Qsi Inc
Doing business as Times Pharmacy #4
- Community/Retail Pharmacy
- Kaneohe, HI
National Provider Identifier
1962500991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY624
- Legal business name
- QSI INC
- Doing business as
- Times Pharmacy #4
- Practice address
- 45 934 Kamehameha Hwy
Kaneohe, HI 96744 - Phone
- (808) 233-4601
- Fax
- (808) 233-4627
- NPI assigned
- Sep 21, 2006
- Last updated
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyssa Pang
- Title
- Director of Pharmacy
- Phone
- (808) 853-7767
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY624 | HI | Primary |
Addresses
Primary practice location
45 934 Kamehameha Hwy
Kaneohe, HI 96744
Mailing address
PO Box 29960
Honolulu, HI 96820-2360
Phone (808) 832-8265
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018185 | Other | PK | |
| 1202186 | Medicaid | HI | |
| 08473201 | Medicaid | HI |
Other names 1
- Times Pharmacy #4
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051205000753 | HI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7517987530 |
13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kaneohe, HI; Waipahu, HI; Pearl City, HI; Lahaina, HI; Kailua, HI; Honolulu, HI; Aiea, HI |
| O20100930009713 | HI | DME Supplier - Pharmacy | 7517987530 | Practice locations: Kaneohe, HI |
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 13
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Times Pharmacy #12
- Community/Retail Pharmacy
- Pearl City, HI
- NPI 1144328170
O20051205000753
-
dba Times Pharmacy #11
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1417055443
O20051205000753
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Times Supermarket-Times Pharmacy #4 | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Times Supermarket
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1962500991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29960",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968202360",
"telephone_number": "808-832-8265",
"fax_number": "808-832-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 934 KAMEHAMEHA HWY",
"city": "KANEOHE",
"state": "HI",
"postal_code": "96744",
"telephone_number": "808-233-4601",
"fax_number": "808-233-4627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QSI INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "PANG",
"authorized_official_first_name": "ALYSSA",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "808-853-7767"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "HI",
"license": "PHY624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2018185",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1202186",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08473201",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Times Pharmacy #4",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.