Active NPI
Kenzo Nakamura
- Pharmacist
- Tucson, AZ
National Provider Identifier
1609580869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025919
- Practice address
- 3200 E Speedway Blvd
Tucson, AZ 85716-3934 - Phone
- (520) 327-6668
- Fax
- (520) 327-7958
- NPI assigned
- Jan 11, 2023
- 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 | S025919 | AZ | Primary |
Addresses
Primary practice location
3200 E Speedway Blvd
Tucson, AZ 85716-3934
Mailing address
3200 E Speedway Blvd
Tucson, AZ 85716-3934
Phone (520) 327-6668
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 |
|---|---|---|---|
| S025919 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3200 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 327-1329
Organizations & group practices 2
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": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1609580869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E SPEEDWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163934",
"telephone_number": "520-327-6668",
"fax_number": "520-327-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 E SPEEDWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163934",
"telephone_number": "520-327-6668",
"fax_number": "520-327-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "KENZO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-11",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.