# KAU COMMUNITY PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700928413
- **Authorized official:** DR. FLOYD W. BARTY D.M.D. (PRESIDENT)
- **Authorized official phone:** (808) 732-8826

## Contact information

- **Practice address:** 96-1115 KAMANI STREET, SUITE 36, PAHALA, HI 96777
- **Practice address phone:** (808) 928-6252
- **Practice address fax:** (808) 928-6408
- **Mailing address:** PO BOX 299, PAHALA, HI 96777-0299
- **Mailing address phone:** (808) 928-6252
- **Mailing address fax:** (808) 928-6408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY-585 | HI | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000008084-6 | HMSA | HI |
| 01 | — | 0000080846 | HMSA QUEST | HI |
| 05 | — | 01273701 | — | HI |
| 01 | — | 1202504 | NCPDP | — |