Jared Yoshiaki Kumasaka Sr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

1719 Issued in HI

Practice address

89-102 Farrington Hwy
Waianae, HI 96792-4101

Phone

(808) 913-6145

Fax

(808) 464-9826

NPI assigned

Apr 13, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1255950903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-871 MAKAUNULAU ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892834",
            "telephone_number": "808-623-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-102 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967924101",
            "telephone_number": "808-913-6145",
            "fax_number": "808-464-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMASAKA",
        "first_name": "JARED",
        "middle_name": "YOSHIAKI",
        "name_suffix": "Sr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rx07107@cvshealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "89-102 Farrington Hwy",
            "city": "Waianae",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967924101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Waianae, HI
• Providers in Waianae, HI by specialty
• Pharmacist in Hawaii

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