Individual provider Active NPI

Nancy Edman Kawahara, PHARM.D.

  • Pharmacist
  • Loma Linda, CA
National Provider Identifier
1659072783
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37215 Issued in CA
Practice address
24745 Stewart St
Loma Linda, CA 92350-1719
Phone
(909) 558-7401
Fax
(909) 558-7973
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-036720 IL
Pharmacist 183500000X 37215 CA Primary

Addresses

Primary practice location

24745 Stewart St
Loma Linda, CA 92350-1719

Mailing address

PO Box 79552
Corona, CA 92877-0185
Phone (951) 660-9181

Other names 1

  • Nancy Julia Edman Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
37215CAMDPharmacist
051-036720ILMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1659072783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79552",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770185",
            "telephone_number": "951-660-9181",
            "fax_number": "909-558-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24745 STEWART ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501719",
            "telephone_number": "909-558-7401",
            "fax_number": "909-558-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAHARA",
        "first_name": "NANCY",
        "middle_name": "EDMAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-036720",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "37215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "EDMAN",
            "middle_name": "JULIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.