Skip to content

Queens Development Corporation & Subsidiaries

NPI 1003984246ActiveOrganization· Pharmacy· Honolulu, HI

Pharmacy in Honolulu, Hawaii, registered in NPPES in December 2006. The authorized official on file is Gavin Sanjume, PHARMD, Dir, Retail & Contrct Phcy. Medicare paid $14,008 for services to 59 patients in 2024.

Overview

NPI1003984246
StatusActive
Entity typeOrganization
NPI issuedDec 4, 2006
Last updated in NPPESJul 20, 2023
Certified by providerJul 18, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XPHY679HI
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (HI); Part B Supplier - Pharmacy (HI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients59
Services billed182 across 8 procedure codes
Paid by Medicare$14,008

Medicare sources and data years

Other Pharmacy providers in Honolulu

All Pharmacy providers in Hawaii →