# PHARMACY CORPORATION OF AMERICA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** KIHEI PROFESSIONAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568495133
- **Authorized official:** PEBBLES PANGRAZIO (CONTRACT ADMINISTRATOR)
- **Authorized official phone:** (877) 975-2273

## Contact information

- **Practice address:** 41 E LIPOA ST, SPACE 23A, KIHEI, HI 96753-8148
- **Practice address phone:** (808) 879-8499
- **Practice address fax:** (808) 874-0800
- **Mailing address:** PO BOX 409244, ATLANTA, GA 30384-9244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHY579 | HI | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00315601 | — | HI |
| 01 | — | 1202302 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |