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Waianae District Comprehensive Health and Hospital Board Inc

Organization Active NPI Community/Retail Pharmacy · Waianae, HI

NPI 1962519306 · NPPES record last updated May 29, 2026

Key facts

NPI
1962519306
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PHY-641 (HI)
Legal business name
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD INC
Practice address
86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone
(808) 697-3438
Fax
(808) 697-3678
NPI assigned
Aug 23, 2006
Organization subpart
Yes
Parent organization (as reported)
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED

Authorized official

Name
Cindy Yee
Title
Chief Financial Officer
Phone
(808) 697-3128

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 16

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

Corporate family (same tax ID) 38

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

View all 38

Practitioners 161

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 161

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Waianae Professional Pharmacy
86-260 Farrington Hwy, Waianae, HI 96792-3128 · (808) 697-3438		 Blood Glucose Monitors/Supplies (Non-Mail Order)|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignment
Participating since Nov 2, 2020

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in HI

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Comp at Tamura Super Market
Waianae, HI · CCN 121878		 Federally qualified health center Operational/Managerial Control May 6, 1969
Makaha Health
Waianae, HI · CCN 121021		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1972

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140520001361 HI DME Supplier - Pharmacy 9931008349 Practice locations: Waianae, HI
O20210222002459 HI Part B Supplier - Mass Immunization (Roster Biller Only) 9931008349 1 other NPI on this enrollment
Practice locations: Waianae, HI

National Provider Directory

Tax ID family
Waianae Coast Comp H (39 organizations share this tax ID)
Part of
Waianae Coast Comp H

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY-641 HI Yes

Addresses

Primary practice location

86-260 Farrington Hwy
Waianae, HI 96792-3128

Mailing address

86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 697-3438

Other identifiers

IdentifierTypeStateIssuer
1204407OtherNCPDP
53024701MedicaidHI

Other names

  • Waianae Professional Pharmacy Doing business as

Other providers in Waianae, HI

All providers in Waianae, HI · Community/Retail Pharmacy in Hawaii

Sources for this page

Verify at the official NPI Registry.