NPIMap

Organization Active NPI

Puna Plantation Hawaii, LTD

Doing business as Waikoloa Village Market Pharmacy

  • Community/Retail Pharmacy
  • Waikoloa, HI
National Provider Identifier
1962846063
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY834 Issued in HI
Legal business name
PUNA PLANTATION HAWAII, LTD
Doing business as
Waikoloa Village Market Pharmacy
Practice address
68-3916 Paniolo Ave
Waikoloa, HI 96738
Phone
(808) 883-8434
NPI assigned
Apr 19, 2013
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Toby B Taniguchi
Title
President
Phone
(808) 989-5466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU
Community/Retail Pharmacy 3336C0003X PHY834 HI Primary

Addresses

Primary practice location

68-3916 Paniolo Ave
Waikoloa, HI 96738

Mailing address

68-3916 Paniolo Ave
Waikoloa, HI 96738
Phone (808) 883-8434

Other identifiers 1

IdentifierTypeStateIssuer
766842MedicaidHI

Other names 1

  • Waikoloa Village Market Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131127001600 HI DME Supplier - PharmacyDME Supplier - Grocery Store 7113027145 Practice locations: Waikoloa, HI
O20170906000844 HI Part B Supplier - Pharmacy 7113027145 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hilo, HI; Kailua Kona, HI; Kamuela, HI; Waikoloa, HI

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Waikoloa Village Market Pharmacy68-3916 Paniolo Ave, Waikoloa, HI 96738-5235(808) 883-8434 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Walkers Does not accept assignmentParticipating since Jan 1, 2024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1962846063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-3916 PANIOLO AVE",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "96738",
            "telephone_number": "808-883-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-3916 PANIOLO AVE",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "96738",
            "telephone_number": "808-883-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNA PLANTATION HAWAII, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TANIGUCHI",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-989-5466"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766842",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waikoloa Village Market Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waikoloa Village Market Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waikoloa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.