Individual provider Active NPI

Carey Yuri Kadohiro

  • Pharmacist
  • Tacoma, WA
National Provider Identifier
1790070076
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60159403 Issued in WA
Practice address
2219 S 37TH St
Tacoma, WA 98409-7473
Phone
(253) 671-6002
Fax
(253) 671-6009
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60159403 WA Primary
Pharmacist 183500000X PH-3140 HI

Addresses

Primary practice location

2219 S 37TH St
Tacoma, WA 98409-7473

Mailing address

2219 S 37TH St
Tacoma, WA 98409-7473
Phone (253) 671-6002

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

LicenseStateTypeSpecialty
PH-3140HIMDPharmacist
PH60159403WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1790070076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 S 37TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097473",
            "telephone_number": "253-671-6002",
            "fax_number": "253-671-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 S 37TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097473",
            "telephone_number": "253-671-6002",
            "fax_number": "253-671-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADOHIRO",
        "first_name": "CAREY",
        "middle_name": "YURI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60159403",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-3140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.