NPI 1174107254 · live from the CMS NPI Registry
Kauai Region Pharmacy West
Pharmacy, Community/Retail Pharmacy in Waimea, HI. National Provider Identifier 1174107254, active.
NPI record
| NPI | 1174107254 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 4643 Waimea Canyon Dr., Waimea, HI 96796 |
| Practice phone | 808-338-2450 |
| Mailing address | Po Box 337, Waimea, HI 96796 |
| Enumerated | May 6, 2021 |
| Last updated | May 6, 2021 |
| Authorized official | Kenneth Vanden Bussche, Lead Retail Pharmacist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.