Active NPI
Kentaro Inoue, R.PH
- Pharmacist
- Jamaica, NY
National Provider Identifier
1396914966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047679
- Practice address
- 8936 Van Wyck Expy
Jamaica, NY 11418-2832 - Phone
- (718) 206-8515
- NPI assigned
- Feb 27, 2008
- Sex
- Male
- 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 | 047679 | NY | Primary |
Addresses
Primary practice location
8936 Van Wyck Expy
Jamaica, NY 11418-2832
Mailing address
9120 Atlantic Ave
Ozone Park, NY 11416-1527
Phone (718) 322-1580
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1396914966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9120 ATLANTIC AVE",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114161527",
"telephone_number": "718-322-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8936 VAN WYCK EXPY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182832",
"telephone_number": "718-206-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOUE",
"first_name": "KENTARO",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
- Initiare Healthcare Services-Nurse Practitioner in Adult Health PLLC
- Inner Calm Wellness PC
- Innercalm Wellness
- Kimberly Gurdy Innocent, PA
- Innovative Anesthesia PLLC
- Inspire Physical Therapy Wellness PLLC
- Institute for Childhood Education and Family Service
- Integrative Chiropractic and Physical Therapy of Jamaica Queens
- Integrative Mental Health Counseling Services of New York, PLLC
- Interactive Physical Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.