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LIHUE PHARMACY INC
NPI 1356994834
Pharmacy - Community/Retail Pharmacy in Lihue, HI

Active since July 23, 2019CLIA 12D2197607 · Waiver
4491 KOLOPA ST STE A, LIHUE, HI 96766(808) 246-9100(808) 246-9199 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lihue Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIHUE PHARMACY INC (NPI 1356994834), doing business as Lihue Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Lihue, Hawaii and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Kevin Glick, President, as its authorized official.

NPPES Registry Identity

NPI1356994834
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIHUE PHARMACY INC
Location Address4491 KOLOPA ST STE ALihue, HI 96766-2021
Mailing Address4491 Kolopa St Ste ALihue, HI 96766-2021 · (808) 246-9100 · Fax (808) 246-9199
Phone(808) 246-9100
Fax(808) 246-9199
Organization SubpartNo
Authorized OfficialKevin GlickPresident · (808) 246-9100
Enumeration DateJuly 23, 2019
✔ NPI 1356994834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4491 KOLOPA ST STE A, Lihue, HI 96766
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Other Names 1

Doing Business AsLihue Pharmacy

Other Identifiers 1

Medicaid546301HI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2197607

Lihue Pharmacy Inc · Lihue, HI
Active · expires Oct 25, 2026
CLIA Number12D2197607
Laboratory TypePharmacy
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorBradley Simmons
Laboratory Phone(808) 246-9100
Laboratory LocationLihue Pharmacy Inc4491 Kolopa St #a, Lihue, HI 96766
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIHUE PHARMACY INC
Pharmacy
4491 KOLOPA ST STE A, SUITE A
LIHUE, HI 96766
Kauai County (808) 246-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lihue Pharmacy Inc's NPI number?

The NPI number for Lihue Pharmacy Inc is 1356994834. It was assigned to this organization in the NPPES registry on July 23, 2019. The provider is doing business as Lihue Pharmacy.

Where is Lihue Pharmacy Inc located?

Lihue Pharmacy Inc is located at 4491 Kolopa St Ste A, Lihue, HI 96766. The listed phone number is (808) 246-9100.

What is Lihue Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Lihue Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2197607) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lihue Pharmacy Inc was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.