Individual provider Active NPI

Dean Michael Yoshimoto

  • Pharmacist
  • Amelia Court House, VA
National Provider Identifier
1265730675
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202205983 Issued in VA
Practice address
15105 Patrick Henry Hwy
Amelia Court House, VA 23002-4700
Phone
(804) 561-2691
NPI assigned
Mar 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202205983 VA Primary

Addresses

Primary practice location

15105 Patrick Henry Hwy
Amelia Court House, VA 23002-4700

Mailing address

7607 Belmont Stakes Dr
Midlothian, VA 23112-6127
Phone (804) 561-2691

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

LicenseStateTypeSpecialty
0202205983VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1265730675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 BELMONT STAKES DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126127",
            "telephone_number": "804-561-2691",
            "fax_number": "804-561-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 PATRICK HENRY HWY",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024700",
            "telephone_number": "804-561-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIMOTO",
        "first_name": "DEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia Court House, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.