1649256298 NPI number — PHARMACARE INTERNATIONAL, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649256298 NPI number — PHARMACARE INTERNATIONAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHARMACARE INTERNATIONAL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649256298
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3375 KOAPAKA ST
Provider Second Line Business Mailing Address:
SUITE G320
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96819-1800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-836-0223
Provider Business Mailing Address Fax Number:
808-836-0537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
99 128 AIEA HEIGHTS DR
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
AIEA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96701-3916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-840-5680
Provider Business Practice Location Address Fax Number:
808-488-3200
Provider Enumeration Date:
12/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
YOSHINO
Authorized Official First Name:
BYRON
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
808-840-5656

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PHY873 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04381201 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2017970 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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