Healthcare Provider Details

I. General information

NPI: 1942695911
Provider Name (Legal Business Name): QSI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 N SCHOOL ST
HONOLULU HI
96817-1844
US

IV. Provider business mailing address

1620 N SCHOOL ST
HONOLULU HI
96817-1844
US

V. Phone/Fax

Practice location:
  • Phone: 808-853-2268
  • Fax: 808-853-2266
Mailing address:
  • Phone: 808-853-2268
  • Fax: 808-832-8268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY886
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA PANG
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 808-853-7767