Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gregory Formanack, RPH

Individual provider Pharmacist · NPI 1063830644

Gregory Formanack, RPH is a Pharmacist in Kailua Kona, Hawaii. Licensed in Hawaii and Montana. Registered with an NPI since 2014.

Licensed in
HI, MT
In the registry since
2014
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

74-5465 Kamakaeha Ave
Kailua Kona, HI 96740-1648
Phone: (808) 326-1707
Fax: (808) 334-1173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 1301 (HI)
Pharmacist Taxonomy 183500000X · Licence 3046 (MT)

Record details

NPI number1063830644
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESApril 1, 2014
Mailing address77-104 Kalaniuka St, Holualoa, HI 96725-9728

Other providers in Kailua Kona