OrganizationActive
Medipharm Pharmacy LLC
NPI 1912024209 · Long Term Care Pharmacy · Honolulu, HI
Provider details
- NPI number
- 1912024209
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Scott Kim, Phrm(808) 523-7088
- License
- PHY689 (HI)
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
197 Sand Island Access Rd Ste 208
Honolulu, HI 96819-4901
Phone: (808) 744-9080
Fax: (808) 744-9079
Street-level locationGet directions
Mailing address
Po Box 38029
Honolulu, HI 96837-1029
Other names (DBA / former)
- Doing business as
- Medipharm Pharmacy
- Doing business as
- Medipharm Pharmacy
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.