NPIMap

Organization Active NPI

Qsi Inc

  • Community/Retail Pharmacy
  • Mililani, HI
National Provider Identifier
1982803672
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 697 Issued in HI
Legal business name
QSI INC
Practice address
95-390 Kuahelani Ave
Mililani, HI 96789-1192
Phone
(808) 625-8010
Fax
(808) 625-8019
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Authorized official

Name
Ms. Sue-Ann Y Yasuoka, RPHNPI 1477742542
Title
Pharmacy Operations Manager
Phone
(808) 832-8255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHY697 HI
Community/Retail Pharmacy 3336C0003X PHY 697 HI Primary

Addresses

Primary practice location

95-390 Kuahelani Ave
Mililani, HI 96789-1192

Mailing address

3375 Koapaka St Ste D108
Honolulu, HI 96819-1865
Phone (808) 832-8255

Other identifiers 3

IdentifierTypeStateIssuer
597396MedicaidHI
1239993OtherHINCPDP
1982803672OtherHINPI

Other names 1

  • TIMES SUPERMARKET - TIMES PHARMACY #20 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 13

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

View all 13

National Provider Directory

National Provider Directory

Locations

3375 Koapaka St
Ste D108
Honolulu, HI 96819
Phone (808) 832-8255

Practitioners & affiliated clinicians

Practitioners 2

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1982803672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA ST STE D108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191865",
            "telephone_number": "808-832-8255",
            "fax_number": "808-832-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-625-8010",
            "fax_number": "808-625-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QSI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "YASUOKA",
        "authorized_official_first_name": "SUE-ANN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "808-832-8255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "PHY697",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY 697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597396",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1239993",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982803672",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIMES SUPERMARKET - TIMES PHARMACY #20",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.