{
"Npi": {
"NPI": "1295880169",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DON QUIJOTE (USA) CO.,LTD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "801 KAHEKA ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HONOLULU",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96814-3725",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-973-6600",
"MailingAddressFaxNumber": "808-976-4844",
"FirstLinePracticeLocationAddress": "94-144 FARRINGTON HWY",
"SecondLinePracticeLocationAddress": "ATTENTION PHARMACY",
"PracticeLocationAddressCityName": "WAIPAHU",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96797-1901",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-678-6831",
"PracticeLocationAddressFaxNumber": "808-671-3946",
"EnumerationDate": "01/23/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUSHIKUMA",
"AuthorizedOfficialFirstName": "HERBERT",
"AuthorizedOfficialMiddleName": "K",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "808-973-6600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHY-558",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}