NPI 1215217401 · live from the CMS NPI Registry
Iaomai 4 LLC
Pharmacy, Community/Retail Pharmacy in Koloa, HI. National Provider Identifier 1215217401, active.
NPI record
| NPI | 1215217401 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 5330 Koloa Rd Ste 2, Koloa, HI 96756 |
| Practice phone | 808-742-7512 |
| Mailing address | Po Box 3753, Lihue, HI 96766 |
| Enumerated | August 19, 2011 |
| Last updated | September 19, 2025 |
| Authorized official | Lianne Malapit, Owner |
| Other names | Lifeway Pharmacy (Koloa) |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PHY806 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.