Individual provider Active NPI

Caitlin Miyuki Kanoelani Mizoshiri, PHARMD

  • Pharmacist
  • Waipahu, HI
National Provider Identifier
1871803007
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3578 Issued in HI
Practice address
94-1146 Moolelo St
Waipahu, HI 96797-4127
Phone
(808) 721-2304
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68974 CA
Pharmacist 183500000X 3578 HI Primary

Addresses

Primary practice location

94-1146 Moolelo St
Waipahu, HI 96797-4127

Mailing address

94-1146 Moolelo St
Waipahu, HI 96797-4127
Phone (808) 721-2304

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
3578HIMDClinical Social Worker
68974CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1871803007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1146 MOOLELO ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974127",
            "telephone_number": "808-721-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1146 MOOLELO ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974127",
            "telephone_number": "808-721-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZOSHIRI",
        "first_name": "CAITLIN",
        "middle_name": "MIYUKI KANOELANI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "68974",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.