Active NPI
Heather Tanaka
- Pharmacist
- Honolulu, HI
National Provider Identifier
1891191011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3715
- Practice address
- 1234 S Beretania St
Honolulu, HI 96814-1522 - Phone
- (808) 535-1785
- NPI assigned
- Nov 16, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 3715 | HI | Primary |
Addresses
Primary practice location
1234 S Beretania St
Honolulu, HI 96814-1522
Mailing address
1234 S Beretania St
Honolulu, HI 96814-1522
Phone (808) 535-1785
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 |
|---|---|---|---|
| 3715 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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": "1416096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1891191011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 S BERETANIA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141522",
"telephone_number": "808-535-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 S BERETANIA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141522",
"telephone_number": "808-535-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANAKA",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-16",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "3715",
"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 Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.