Individual provider Active NPI

Lia Fukada, PHARMD

  • Pharmacist
  • Kaneohe, HI
National Provider Identifier
1003531732
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH-4838 Issued in HI
Practice address
45-480 Kaneohe Bay Dr BLDG E
Kaneohe, HI 96744-2054
Phone
(808) 235-5805
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH-4838 HI Primary

Addresses

Primary practice location

45-480 Kaneohe Bay Dr BLDG E
Kaneohe, HI 96744-2054

Mailing address

45-480 Kaneohe Bay Dr BLDG E
Kaneohe, HI 96744-2054
Phone (808) 235-5805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH-4838HIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1003531732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-480 KANEOHE BAY DR BLDG E",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442054",
            "telephone_number": "808-235-5805",
            "fax_number": "808-235-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-480 KANEOHE BAY DR BLDG E",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442054",
            "telephone_number": "808-235-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKADA",
        "first_name": "LIA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-4838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.