Active NPI
Kimberly Rae Hayashi
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Huntersville, NC
National Provider Identifier
1285239129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 700458
- Practice address
- 16525 Holly Crest LN Ste 230
Huntersville, NC 28078-4912 - Phone
- (704) 316-6360
- Fax
- (704) 316-6361
- NPI assigned
- Nov 30, 2020
- Last updated
- Aug 10, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30271 | NC | |
| Pharmacist | 183500000X | 62352 | TX | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 700458 | NC | Primary |
Addresses
Primary practice location
16525 Holly Crest LN Ste 230
Huntersville, NC 28078-4912
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-6360
Other practice location 1
1101 E Hwy 377
Granbury, TX 76048-2545
Phone (817) 573-8877
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 |
|---|---|---|---|
| 30271 | NC | MD | Pharmacist |
| 62352 | TX | MD | Pharmacist |
| 700458 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Interoperability endpoints
- khayashi1126089@direct.novanthealth.org
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, 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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1285239129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-316-6360",
"fax_number": "704-316-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16525 HOLLY CREST LN STE 230",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280784912",
"telephone_number": "704-316-6360",
"fax_number": "704-316-6361"
}
],
"practiceLocations": [
{
"address_1": "1101 E Hwy 377",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760482545",
"country_code": "US",
"telephone_number": "817-573-8877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYASHI",
"first_name": "KIMBERLY",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30271",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62352",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "700458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.