Active NPI
Tracy Nakama, PHARM.D.
- Pharmacist
- Kailua, HI
National Provider Identifier
1295120079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-3741
- Practice address
- 590 Kailua Rd
Kailua, HI 96734-2827 - Phone
- (808) 266-2703
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-3741 | HI | Primary |
Addresses
Primary practice location
590 Kailua Rd
Kailua, HI 96734-2827
Mailing address
2313 Lime St
Honolulu, HI 96826-4208
Other practice location 1
2313 Lime St
Honolulu, HI 96826-4208
Phone (808) 292-9693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH-3741 | Other | HI | HAWAII STATE PHARMACIST LICENSE NUMBER |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-3741 | HI | MD | Pharmacist |
Interoperability endpoints
- tracy.nakama@hawaiihie.medicity.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1295120079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2313 LIME ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968264208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 KAILUA RD",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342827",
"telephone_number": "808-266-2703"
}
],
"practiceLocations": [
{
"address_1": "2313 Lime St",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968264208",
"country_code": "US",
"telephone_number": "808-292-9693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAKAMA",
"first_name": "TRACY",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII STATE PHARMACIST LICENSE NUMBER",
"identifier": "PH-3741",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.