Jonathan Kiyoshi Fujimoto, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

62795 Issued in CA

Practice address

777 S Harbor Blvd
La Habra, CA 90631-6882

Phone

(714) 514-0485

Fax

(401) 652-0586

NPI assigned

Jun 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1255781076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 EVENING CANYON RD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212612",
            "telephone_number": "714-514-0485",
            "fax_number": "401-652-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316882",
            "telephone_number": "714-514-0485",
            "fax_number": "401-652-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIMOTO",
        "first_name": "JONATHAN",
        "middle_name": "KIYOSHI",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freeman Dialysis LLC (La Habra Dialysis)
• Elliot J Friedman, D.C.
• Friends of Children Health Center
• Friends of Family Health Center
• Lawrence Fromm, O.D.
• Functional Behavioral Interventions
• Functional Behavioral Interventions
• Functionfirstaba
• Stephanie Anne Gaherty, PHARM.D
• Randy Galan, MD

• Pharmacist in La Habra, CA
• Providers in La Habra, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.