Active NPI
Todd Brandon Nitta, RPH
- Pharmacist
- Waianae, HI
National Provider Identifier
1609077460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2552
- Practice address
- 86-120 Farrington Hwy
Waianae, HI 96792-3000 - Phone
- (808) 696-7059
- Fax
- (808) 696-0793
- NPI assigned
- May 30, 2007
- 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 | 2552 | HI | Primary |
Addresses
Primary practice location
86-120 Farrington Hwy
Waianae, HI 96792-3000
Mailing address
141 N Civic Dr
Walnut Creek, CA 94596-3815
Phone (925) 210-6659
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2552 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609077460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 N CIVIC DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945963815",
"telephone_number": "925-210-6659",
"fax_number": "925-210-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86-120 FARRINGTON HWY",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923000",
"telephone_number": "808-696-7059",
"fax_number": "808-696-0793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITTA",
"first_name": "TODD",
"middle_name": "BRANDON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "2552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waianae, 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.