Individual provider Active NPI

Jonathan Yim

  • Pharmacist
  • Honolulu, HI
National Provider Identifier
1285282392
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH-1947 Issued in HI
Practice address
848 Ala Lilikoi St Ste 120
Honolulu, HI 96818-2109
Phone
(808) 833-2597
Fax
(808) 833-5044
NPI assigned
Sep 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH-1947 HI Primary

Addresses

Primary practice location

848 Ala Lilikoi St Ste 120
Honolulu, HI 96818-2109

Mailing address

848 Ala Lilikoi St Ste 120
Honolulu, HI 96818-2109
Phone (808) 833-2597

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
PH-1947HIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1285282392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 ALA LILIKOI ST STE 120",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182109",
            "telephone_number": "808-833-2597",
            "fax_number": "808-833-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ALA LILIKOI ST STE 120",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182109",
            "telephone_number": "808-833-2597",
            "fax_number": "808-833-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-1947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; 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.