Active NPI
Jon Michio Hiura
- Pharmacist
- Pittsburg, CA
National Provider Identifier
1326520784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42369
- Practice address
- 230 Atlantic Ave
Pittsburg, CA 94565-5222 - Phone
- (925) 439-7422
- Fax
- (925) 439-2141
- NPI assigned
- Sep 2, 2018
- Sex
- Male
- 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 | 42369 | CA | Primary |
Addresses
Primary practice location
230 Atlantic Ave
Pittsburg, CA 94565-5222
Mailing address
230 Atlantic Ave
Pittsburg, CA 94565-5222
Phone (925) 439-7422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-0340626 | Medicaid | RI |
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 |
|---|---|---|---|
| 42369 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535846400000",
"number": "1326520784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 ATLANTIC AVE",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655222",
"telephone_number": "925-439-7422",
"fax_number": "925-439-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 ATLANTIC AVE",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655222",
"telephone_number": "925-439-7422",
"fax_number": "925-439-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIURA",
"first_name": "JON",
"middle_name": "MICHIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-02",
"last_updated": "2018-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05-0340626",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.