Individual provider Active NPI

Kevin Nishina

  • Pharmacist
  • Honolulu, HI
National Provider Identifier
1053947713
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH1888 Issued in HI
Practice address
1088 Bishop St Ste 113
Honolulu, HI 96813-3109
Phone
(808) 536-5706
Fax
(808) 599-3946
NPI assigned
Mar 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH1888 HI Primary

Addresses

Primary practice location

1088 Bishop St Ste 113
Honolulu, HI 96813-3109

Mailing address

1088 Bishop St Ste 113
Honolulu, HI 96813-3109
Phone (808) 536-5706

Other identifiers 1

IdentifierTypeStateIssuer
RPH1888OtherHISTATE LICENSE NUMBER FOR PHARMACIST

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

State licenses

LicenseStateTypeSpecialty
PH1888HIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1053947713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 BISHOP ST STE 113",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133109",
            "telephone_number": "808-536-5706",
            "fax_number": "808-599-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 BISHOP ST STE 113",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133109",
            "telephone_number": "808-536-5706",
            "fax_number": "808-599-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHINA",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH1888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER FOR PHARMACIST",
            "identifier": "RPH1888",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.