Active NPI
Annie Chao-an Yung Yamamoto
- Pharmacist
- Honolulu, HI
National Provider Identifier
1790042281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH3718
- Practice address
- 1030 S King St
Honolulu, HI 96814-2114 - Phone
- (808) 591-8402
- Fax
- (808) 591-8408
- NPI assigned
- Apr 20, 2012
- Last updated
- Mar 17, 2018
- 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 | PH3718 | HI | Primary |
Addresses
Primary practice location
1030 S King St
Honolulu, HI 96814-2114
Mailing address
1030 S King St
Honolulu, HI 96814-2114
Phone (808) 591-8402
Other practice location 1
1828 E 37th Ave
Spokane, WA 99203-4110
Phone (808) 233-8693
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 |
|---|---|---|---|
| PH3718 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1790042281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142114",
"telephone_number": "808-591-8402",
"fax_number": "808-591-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142114",
"telephone_number": "808-591-8402",
"fax_number": "808-591-8408"
}
],
"practiceLocations": [
{
"address_1": "1828 E 37th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992034110",
"country_code": "US",
"telephone_number": "808-233-8693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAMAMOTO",
"first_name": "ANNIE",
"middle_name": "CHAO-AN YUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH3718",
"primary": true
}
],
"identifiers": [],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.