Individual provider Active NPI

Phillip Yamauchi, PHARMD, PHC, CDE

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Tucson, AZ
National Provider Identifier
1023505302
Registry record updated Apr 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PC00000289 Issued in NM
Practice address
1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone
(520) 260-5195
NPI assigned
Apr 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X S016356 AZ
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PC00000289 NM Primary

Addresses

Primary practice location

1501 N Campbell Ave
Tucson, AZ 85724-0001

Mailing address

4333 E Winding Creek PL
Tucson, AZ 85712-5461
Phone (520) 260-5195

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
S016356AZMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PC00000289NMMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524355200000",
    "number": "1023505302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 E WINDING CREEK PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125461",
            "telephone_number": "520-260-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-260-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAUCHI",
        "first_name": "PHILLIP",
        "credential": "PHARMD, PHC, CDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-22",
        "last_updated": "2018-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AZ",
            "license": "S016356",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "PC00000289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2018; 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.