Active NPI
Elyse Midori Kanda Lee
- Pharmacist
- Kamuela, HI
National Provider Identifier
1184090599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3876
- Practice address
- 65-1271 Kawaihae Rd
Kamuela, HI 96743-7369 - Phone
- (808) 885-4418
- NPI assigned
- Aug 19, 2015
- Last updated
- Oct 3, 2022
- Sex
- Female
- 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 | 3876 | HI | Primary |
Addresses
Primary practice location
65-1271 Kawaihae Rd
Kamuela, HI 96743-7369
Mailing address
65-1271 Kawaihae Rd
Kamuela, HI 96743-7369
Phone (808) 885-4418
Other practice location 1
56 Oneawa St
Kailua, HI 96734-2501
Phone (808) 263-9980
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 |
|---|---|---|---|
| 3876 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1184090599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65-1271 KAWAIHAE RD",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967437369",
"telephone_number": "808-885-4418",
"fax_number": "808-885-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65-1271 KAWAIHAE RD",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967437369",
"telephone_number": "808-885-4418"
}
],
"practiceLocations": [
{
"address_1": "56 Oneawa St",
"address_purpose": "LOCATION",
"city": "Kailua",
"state": "HI",
"postal_code": "967342501",
"country_code": "US",
"telephone_number": "808-263-9980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ELYSE",
"middle_name": "MIDORI KANDA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "3876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.