UNIVERSITY OF HAWAII AT HILO STUDENT MEDICAL SERVICE
NPI 1629302773
Pharmacy - Community/Retail Pharmacy in Hilo, HI
- Organization
- Pharmacy
- Community/Retail Pharmacy
- CLIA Number: 12D0973851
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 11-29-2027
About UNIVERSITY OF HAWAII AT HILO STUDENT MEDICAL SERVICE
This page provides the complete NPI Profile along with additional information for University Of Hawaii At Hilo Student Medical Service, a provider established in Hilo, Hawaii operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1629302773 assigned on September 2009. The practitioner's primary taxonomy code is 3336C0003X with license number PHY-832 (HI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as University Of Hawaii At Hilo Student Medical Service. The authorized official of this NPI record is Mimi Pezzuto (Pharmacist In Charge)
- NPI
- 1629302773 Verify this NPI
- Provider Legal Name
- UNIVERSITY OF HAWAII AT MANOA
- Other Organization Name
- UNIVERSITY OF HAWAII AT HILO STUDENT MEDICAL SERVICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 200 W KAWILI ST HILO, HI 96720
- Location Phone
- (808) 932-7369
- Mailing Address
- 200 W KAWILI ST HILO, HI 96720
- Mailing Phone
- (808) 932-7369
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-22-2009
- Last Update Date
- 08-07-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- PHY-832
- License State
- HI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2143166 | OTHER (01) | PK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 12D0973851
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- November 30, 2025
- Certificate Expiration Date
- November 29, 2027
- Laboratory Director
- HEATHER J. HIRATA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to University Of Hawaii At Hilo Student Medical Service in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for UNIVERSITY OF HAWAII AT HILO STUDENT MEDICAL SERVICE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
HILO, HI 96720
HILO, HI 96720
HILO, HI 96720
HILO, HI 96720
HILO, HI 96720
HILO, HI 96720
HILO, HI 96720
HILO, HI 96720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629302773, enumerated as an "organization" on September 22, 2009.
The provider is located at 200 W KAWILI ST HILO, HI 96720 and the phone number is (808) 932-7369.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
