Active NPI
Jon Wataoka, PHARMD
- Pharmacist
- Kaunakakai, HI
National Provider Identifier
1093782013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-1927
- Practice address
- 28 Kamoi St
Kaunakakai, HI 96748 - Phone
- (808) 553-5790
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-1927 | HI | Primary |
Addresses
Primary practice location
28 Kamoi St
Kaunakakai, HI 96748
Mailing address
PO Box 1540
Kaunakakai, HI 96748
Phone (808) 753-2216
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH-1927 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1093782013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1540",
"city": "KAUNAKAKAI",
"state": "HI",
"postal_code": "96748",
"telephone_number": "808-753-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 KAMOI ST",
"city": "KAUNAKAKAI",
"state": "HI",
"postal_code": "96748",
"telephone_number": "808-553-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATAOKA",
"first_name": "JON",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-1927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaunakakai, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.