Active NPI
Kyren Ishikawa, PHARMD
- Pharmacist
- Lihue, HI
National Provider Identifier
1366107294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-4603
- Practice address
- 4491A Kolopa St
Lihue, HI 96766-2034 - Phone
- (808) 246-9100
- NPI assigned
- Nov 4, 2021
- Last updated
- Nov 4, 2021
- 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-4603 | HI | Primary |
Addresses
Primary practice location
4491A Kolopa St
Lihue, HI 96766-2034
Mailing address
2869 Pua Loke St
Lihue, HI 96766-1656
Phone (808) 652-7801
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-4603 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lihue Pharmacy Inc | 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": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1366107294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2869 PUA LOKE ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661656",
"telephone_number": "808-652-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4491A KOLOPA ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "967662034",
"telephone_number": "808-246-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHIKAWA",
"first_name": "KYREN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-4603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.