Active NPI
Deena Tanimoto
- Pharmacist
- Wahiawa, HI
National Provider Identifier
1649923012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-4730
- Practice address
- 302 California Ave Ste 105
Wahiawa, HI 96786-1841 - Phone
- (808) 622-2773
- NPI assigned
- Jan 27, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-4730 | HI | Primary |
Addresses
Primary practice location
302 California Ave Ste 105
Wahiawa, HI 96786-1841
Mailing address
1757F Walea St
Wahiawa, HI 96786-2508
Phone (808) 291-2166
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-4730 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1649923012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1757F WALEA ST",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967862508",
"telephone_number": "808-291-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 CALIFORNIA AVE STE 105",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967861841",
"telephone_number": "808-622-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIMOTO",
"first_name": "DEENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-4730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wahiawa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.