Active NPI
Terri Miyamoto
- Pharmacist
- Honolulu, HI
National Provider Identifier
1407908197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-2307
- Practice address
- 2828 Paa St
Third Floor
Honolulu, HI 96819-4405 - Phone
- (808) 432-5646
- NPI assigned
- Jan 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-2307 | HI | Primary |
| Pharmacist | 183500000X | PH00041363 | WA |
Addresses
Primary practice location
2828 Paa St
Third Floor
Honolulu, HI 96819-4405
Mailing address
500 Lunalilo Home Rd
#12-J
Honolulu, HI 96825-1752
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 |
|---|---|---|---|
| PH-2307 | HI | MD | Pharmacist |
| PH00041363 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407908197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LUNALILO HOME RD",
"address_2": "#12-J",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968251752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 PAA ST",
"address_2": "THIRD FLOOR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194405",
"telephone_number": "808-432-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIYAMOTO",
"first_name": "TERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-2307",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00041363",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.