Individual provider Active NPI

Shogo John Miyagi, PHARMD PHD MS BCPPS

  • Clinic Pharmacy
  • Honolulu, HI
National Provider Identifier
1699505339
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH-4417 Issued in HI
Practice address
1319 Punahou St BSMT
Honolulu, HI 96826-1080
Phone
(808) 983-8130
NPI assigned
Aug 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PH-4417 HI Primary

Addresses

Primary practice location

1319 Punahou St BSMT
Honolulu, HI 96826-1080

Mailing address

1319 Punahou St BSMT
Honolulu, HI 96826-1080
Phone (808) 983-8130

Other identifiers 2

IdentifierTypeStateIssuer
IND-915218OtherBOARD OF PHARMACY SPECIALTIES
PH-4417OtherHISTATE OF HAWAII - BOARD OF PHARMACY

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
Master of Science, Doctor of Philosophy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH-4417HIMDClinic Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1699505339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST BSMT",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261080",
            "telephone_number": "808-983-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST BSMT",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261080",
            "telephone_number": "808-983-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAGI",
        "first_name": "SHOGO",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARMD PHD MS BCPPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "HI",
            "license": "PH-4417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY SPECIALTIES",
            "identifier": "IND-915218",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF HAWAII - BOARD OF PHARMACY",
            "identifier": "PH-4417",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.