Active NPI
Kerri T. Miyake-Nogawa, PHARM.D.
- Pharmacist
- Kapolei, HI
National Provider Identifier
1336435700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-2215
- Practice address
- 4450 Kapolei Pkwy Ste 100
Kapolei, HI 96707-1878 - Phone
- (808) 457-3680
- NPI assigned
- Jun 23, 2011
- Last updated
- Jun 23, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-2215 | HI | Primary |
Addresses
Primary practice location
4450 Kapolei Pkwy Ste 100
Kapolei, HI 96707-1878
Mailing address
4450 Kapolei Pkwy Ste 100
Kapolei, HI 96707-1878
Phone (808) 457-3680
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-2215 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy 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, 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": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1336435700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 KAPOLEI PKWY STE 100",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071878",
"telephone_number": "808-457-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 KAPOLEI PKWY STE 100",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071878",
"telephone_number": "808-457-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIYAKE-NOGAWA",
"first_name": "KERRI",
"middle_name": "T.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-2215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.