Active NPI
Derek Ren Okamura
- Pharmacist
- Kaneohe, HI
National Provider Identifier
1174166706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-1612
- Practice address
- 45-934 Kamehameha Hwy
Kaneohe, HI 96744-3243 - Phone
- (808) 233-4601
- Fax
- (808) 233-4627
- NPI assigned
- Oct 27, 2019
- Sex
- Male
- Sole proprietor
- No
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-1612 | HI | Primary |
Addresses
Primary practice location
45-934 Kamehameha Hwy
Kaneohe, HI 96744-3243
Mailing address
45-934 Kamehameha Hwy
Kaneohe, HI 96744-3243
Phone (808) 233-4601
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH-1612 | HI | MD | Pharmacist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Honolulu, HI
- NPI 1942695911
-
- Community/Retail Pharmacy
- Kaneohe, HI
- NPI 1962500991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572134400000",
"number": "1174166706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45-934 KAMEHAMEHA HWY",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443243",
"telephone_number": "808-233-4601",
"fax_number": "808-233-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-934 KAMEHAMEHA HWY",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443243",
"telephone_number": "808-233-4601",
"fax_number": "808-233-4627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAMURA",
"first_name": "DEREK",
"middle_name": "REN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-27",
"last_updated": "2019-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-1612",
"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 27, 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.