Foodland Supermarket LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY709 Issued in HI

Legal business name

FOODLAND SUPERMARKET LTD

Doing business as

Foodland Pharmacy #28

Practice address

4 771 Kuhio Hwy
Kapaa, HI 96746

Phone

(808) 821-6979

Fax

(808) 821-6977

NPI assigned

Aug 4, 2008

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Adams

Title

Director of Pharmacy

Phone

(808) 735-7202

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• FOODLAND PHARMACY #28 Doing business as

Locations

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1982860532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 HARDING AVE",
            "address_2": "SUITE 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": "4 771 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "96746",
            "telephone_number": "808-821-6979",
            "fax_number": "808-821-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODLAND SUPERMARKET LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "808-735-7202"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOODLAND PHARMACY #28",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee A Evslin, M.D.
• Fahy Bailey, PH.D., Inc.
• Elmira Farnoosh
• Rose B Fernandez
• Foodland Lab #28
• Brooke Chantelle Foreman, L.AC., LMT
• Kimberly Rachael Frank, RBT
• Judah Freed
• Creson Fujii
• Haylee Garcia-Raquel

• Community/Retail Pharmacy in Kapa'a, HI
• Providers in Kapa'a, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.