Moana Healthcare
Pharmacy in Honolulu, HI. Organization (NPI-2).
NPI number1154089092
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1154089092
- Entity type
- Organization (NPI-2)
- Legal business name
- Moana Healthcare
- Organization subpart
- No
- Enumeration date
- Dec 7, 2021
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Other names
- Moana Managed Care Pharmacy (Doing Business As)
Practice location
1670 Makaloa St Ste 201bHonolulu, HI 96814-3232
Phone 808-497-8887
Mailing address
1670 Makaloa St Ste 201bHonolulu, HI 96814-3232
Phone 808-497-8887
Authorized official
Seung Tack Kim
President
8084978887
Is something wrong?
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All 31 Pharmacy providers in Honolulu · All 15,929 providers in Honolulu
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