Provider Demographics
NPI:1083690150
Name:VALUE DRUG LTD
Entity Type:Organization
Organization Name:VALUE DRUG LTD
Other - Org Name:PHARMACARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:YOSHINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:808-840-5656
Mailing Address - Street 1:3375 KOAPAKA ST
Mailing Address - Street 2:SUITE G320
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1800
Mailing Address - Country:US
Mailing Address - Phone:808-836-0223
Mailing Address - Fax:808-836-0537
Practice Address - Street 1:162 KINOOLE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2861
Practice Address - Country:US
Practice Address - Phone:808-961-5115
Practice Address - Fax:808-961-5918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336H0001X
HIPHY4543336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI022681Medicaid
2018530OtherPK
0377700001Medicare NSC