Mina Pharmacy Ltc, LLC
Mina Pharmacy Ltc, LLC is a healthcare organization registered as Long Term Care Pharmacy in Honolulu, HI, holding Type 2 (organization) NPI 1255453676 since 2007. The authorized official on file is Adel Etinas, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255453676 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mina Pharmacy Ltc, LLC |
| Other name | <Unavail> |
| Practice address | 4510 SALT LAKE BLVD, #B7-A, Honolulu, HI, 96818 |
| Phone | 8084887500 |
| Fax | 8084887505 |
| Enumeration date | 2007-04-05 |
| Last updated in NPPES | 2011-09-08 |
Authorized official
| Name | Adel Etinas |
|---|---|
| Title | President |
| Phone | 8087384540 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Primary | PHY-693 | HI |
Copy-ready billing details
Provider: Mina Pharmacy Ltc, LLC NPI: 1255453676 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 4510 SALT LAKE BLVD, #B7-A, Honolulu, HI, 96818
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821075094 | Grant Fusato | Individual | Optometrist | Honolulu, HI |
| 1548336191 | Craig Moy | Individual | Dentist | Honolulu, HI |
| 1063852705 | Willy Grace Bunghanoy-Diama | Individual | Clinical Social Worker | Honolulu, HI |
| 1215378054 | B.C.P., Inc. | Organization | Home Health Agency | Honolulu, HI |
| 1528484334 | Aloha Stadium Dental Associates | Organization | General Practice Dentistry | Honolulu, HI |
| 1649661836 | B.C.P., Inc. Dba/ Bayada Home Health Care | Organization | Home Health Agency | Honolulu, HI |
| 1306222468 | Bayada Home Care | Organization | Community/Behavioral Health Agency | Honolulu, HI |
| 1396115366 | Jared Yokoyama | Individual | Behavior Analyst | Honolulu, HI |
Verify this record
Cross-check NPI 1255453676 against the authoritative CMS record: view Mina Pharmacy Ltc, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Mina Pharmacy Ltc, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-09-08.