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UNIVERSITY OF HAWAII AT HILO STUDENT MEDICAL SERVICE
NPI 1629302773
Pharmacy - Community/Retail Pharmacy in Hilo, HI

Active since September 22, 2009CLIA 12D0973851 · Microscopy
200 W KAWILI ST, HILO, HI 96720(808) 932-7369 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About University Of Hawaii At Hilo Student Medical Service NPPES

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

UNIVERSITY OF HAWAII AT HILO STUDENT MEDICAL SERVICE (NPI 1629302773) is a healthcare organization registered as a community/retail pharmacy in Hilo, Hawaii and active in the NPI registry since September 2009. The organization holds a CLIA Microscopy certificate valid through November 29, 2027 and lists Mimi Pezzuto, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1629302773
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameUNIVERSITY OF HAWAII AT MANOA
Location Address200 W KAWILI STHilo, HI 96720-4075
Mailing Address200 W Kawili StHilo, HI 96720-4075 · (808) 932-7369
Phone(808) 932-7369
Organization SubpartNo
Authorized OfficialMimi PezzutoPharmacist In Charge · (808) 932-7369
Enumeration DateSeptember 22, 2009
Last NPPES UpdateAugust 7, 2014
✔ NPI 1629302773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in HI · PHY-832
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
200 W KAWILI ST, Hilo, HI 96720
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Other Names 1

Doing Business AsUniversity Of Hawaii At Hilo Student Medical Service

Other Identifiers 1

Other2143166Pk

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 for Provider-Performed Microscopy Procedures (PPMP) 12D0973851

University Of Hawaii At Hilo Student Med Services · Hilo, HI
Active · expires Nov 29, 2027
CLIA Number12D0973851
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorHeather J. Hirata
Laboratory Phone(808) 932-7636
Laboratory LocationUniversity Of Hawaii At Hilo Student Med Services200 W Kawili St, Campus Center Rm 212, Hilo, HI 96720
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

JOYCE MARGARET NORRIS-TAYLOR DNP, APRN-RX, NP-C
Nurse Practitioner (Family)
200 W KAWILI ST
HILO, HI 96720
Hawaii County (808) 932-7063
CHAE MIN LEE
Pharmacist
200 W KAWILI ST
HILO, HI 96720
Hawaii County (808) 932-8117
MS. CAROLYN M LESNETT APRN
Registered Nurse (College Health)
200 W KAWILI ST, CAMPUS CENTER 212
HILO, HI 96720
Hawaii County (808) 974-7636
UH-HILO STUDENT MEDICAL SERVICES
Clinic/Center (Health Service)
200 W KAWILI ST, CAMPUS CENTER RM 212
HILO, HI 96720
Hawaii County (808) 974-7636
PROF. CHRISTINE DEIDRE BECK APRN
Nurse Practitioner (Family)
200 W KAWILI ST, UH HILO STUDENT MEDICAL SERVICES
HILO, HI 96720
Hawaii County (808) 974-7636
HENANINOOEKAWAHINEUI WANDASAN
Student in an Organized Health Care Education/Training Program
200 W KAWILI ST
HILO, HI 96720
Hawaii County (808) 932-7799
AYA MORIOKA MS, ATC
Specialist/Technologist (Athletic Trainer)
200 W KAWILI ST
HILO, HI 96720
Hawaii County (808) 932-7803
MR. TIMOTHY A EAKINS AT.,C
Student in an Organized Health Care Education/Training Program
200 W KAWILI ST
HILO, HI 96720
Hawaii County (808) 974-7536

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 University Of Hawaii At Manoa's NPI number?

The NPI number for University Of Hawaii At Manoa is 1629302773. It was assigned to this organization in the NPPES registry on September 22, 2009. The provider is doing business as University Of Hawaii At Hilo Student Medical Service.

Where is University Of Hawaii At Manoa located?

University Of Hawaii At Manoa is located at 200 W Kawili St, Hilo, HI 96720. The listed phone number is (808) 932-7369.

What is University Of Hawaii At Manoa's specialty?

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

Does University Of Hawaii At Manoa hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D0973851) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Of Hawaii At Manoa was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.