Active NPI
Kelli Uyetake
- Pharmacist
- Mililani, HI
National Provider Identifier
1619508546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2574
- Practice address
- 94-780 Meheula Pkwy Ste a
Mililani, HI 96789-2199 - Phone
- (808) 623-6636
- NPI assigned
- Jan 29, 2020
- 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 | 2574 | HI | Primary |
Addresses
Primary practice location
94-780 Meheula Pkwy Ste a
Mililani, HI 96789-2199
Mailing address
95-1119 Kualapa St
Mililani, HI 96789-4277
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 |
|---|---|---|---|
| 2574 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California, Inc. | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
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.
-
- Pharmacy
- Kapolei, HI
- NPI 1700565793
-
- Durable Medical Equipment & Medical Supplies
- Mililani, HI
- NPI 1922208792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1619508546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-1119 KUALAPA ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967894277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-780 MEHEULA PKWY STE A",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892199",
"telephone_number": "808-623-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UYETAKE",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "2574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.