Healthcare Provider Details

I. General information

NPI: 1932013141
Provider Name (Legal Business Name): OHANA PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1690 86TH ST
BROOKLYN NY
11214-2832
US

IV. Provider business mailing address

1690 86TH ST
BROOKLYN NY
11214-2832
US

V. Phone/Fax

Practice location:
  • Phone: 718-232-0900
  • Fax: 718-232-0901
Mailing address:
  • Phone: 718-232-0900
  • Fax: 718-232-0901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRAN DIEP
Title or Position: PRESIDENT
Credential:
Phone: 718-232-0900