Organization Active NPI

Nineteen Fifty-One Partners, Inc.

  • Community/Retail Pharmacy
  • Kailua-Kona, HI
National Provider Identifier
1982035879
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY845 Issued in HI
Legal business name
NINETEEN FIFTY-ONE PARTNERS, INC.
Practice address
74-5563 Kuakini Hwy
Suite 129
Kailua-Kona, HI 96740
Phone
(808) 324-6888
Fax
(808) 324-7888
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Tara Lei Manwarring
Title
Manager
Phone
(808) 324-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY845 HI Primary

Addresses

Primary practice location

74-5563 Kuakini Hwy
Suite 129
Kailua-Kona, HI 96740

Mailing address

PO Box 75
Kealakekua, HI 96750-0075
Phone (808) 324-6888

Other identifiers 1

IdentifierTypeStateIssuer
2143211OtherPK

Other names 1

  • Malama Compounding Pharmacy Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2240957Malama Compounding Pharmacy74-5563 Kaiwi Street, Suite 129, Kailua Kona, HI 96740Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1982035879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967500075",
            "telephone_number": "808-324-6888",
            "fax_number": "808-324-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5563 KUAKINI HWY",
            "address_2": "SUITE 129",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-324-6888",
            "fax_number": "808-324-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINETEEN FIFTY-ONE PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "MANWARRING",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LEI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-324-6888"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malama Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua-Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.