Organization Active NPI

Foodland Supermarket LTD

  • Community/Retail Pharmacy
  • Laie, HI
National Provider Identifier
1972775997
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY705 Issued in HI
Legal business name
FOODLAND SUPERMARKET LTD
Practice address
55 510 Kamehameha Hwy
Laie, HI 96762
Phone
(808) 293-9919
Fax
(808) 293-9926
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Patrick Adams
Title
Dir of Phcy
Phone
(808) 735-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY705 HI Primary

Addresses

Primary practice location

55 510 Kamehameha Hwy
Laie, HI 96762

Mailing address

3536 Harding Ave
Ste 100
Honolulu, HI 96816-2453
Phone (808) 735-7202

Other identifiers 1

IdentifierTypeStateIssuer
2019630OtherPK

Other names 1

  • FOODLAND PHARMACY #32 Doing business as

National Provider Directory

National Provider Directory

Locations

3536 Harding Ave
Ste 100
Honolulu, HI 96816

Interoperability endpoints

  • Direct secure messaging: paige.kurosawa@hawaiihie.medicity.net

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1972775997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 HARDING AVE",
            "address_2": "STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162453",
            "telephone_number": "808-735-7202",
            "fax_number": "808-735-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 510 KAMEHAMEHA HWY",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "96762",
            "telephone_number": "808-293-9919",
            "fax_number": "808-293-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODLAND SUPERMARKET LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIR OF PHCY",
        "authorized_official_telephone_number": "808-735-7202"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOODLAND PHARMACY #32",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laie, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.