Healthcare Provider Details

I. General information

NPI: 1881160901
Provider Name (Legal Business Name): HAWAII-RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 S KING ST STE 1006
HONOLULU HI
96814-1953
US

IV. Provider business mailing address

12110 HADLEY ST STE B
WHITTIER CA
90601-3912
US

V. Phone/Fax

Practice location:
  • Phone: 833-767-5663
  • Fax: 808-333-3682
Mailing address:
  • Phone: 833-767-5663
  • Fax: 808-333-3682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMANDA LYNN BURAND
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 877-602-7779