Individual provider Active NPI

Kelsy Yamane Hernandez-Saca, PHARMD

  • Pharmacist
  • Waianae, HI
National Provider Identifier
1881740686
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH2288 Issued in HI
Practice address
87-2116 Farrington Hwy
Waianae, HI 96792
Phone
(808) 432-3571
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH54045 CA
Pharmacist 183500000X PH2288 HI Primary

Addresses

Primary practice location

87-2116 Farrington Hwy
Waianae, HI 96792

Mailing address

99-956 Halawa Dr
Aiea, HI 96701-3146
Phone (808) 221-8062

Other names 1

  • Kelsy Ann Yamane 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
RPH54045CAMDPharmacist
PH2288HIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1881740686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-956 HALAWA DR",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013146",
            "telephone_number": "808-221-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-2116 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "96792",
            "telephone_number": "808-432-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-SACA",
        "first_name": "KELSY",
        "middle_name": "YAMANE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH54045",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH2288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSY",
            "last_name": "YAMANE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waianae, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.