Amanda Yukari Ikehara, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60569992 Issued in WA

Practice address

2521 Main St
Vancouver, WA 98660-2649

Phone

(360) 693-2524

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Vancouver, WA
  • NPI 1467467456
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1902273329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 NE BURTON RD",
            "address_2": "UNIT 39",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986627210",
            "telephone_number": "720-838-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602649",
            "telephone_number": "360-693-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEHARA",
        "first_name": "AMANDA",
        "middle_name": "YUKARI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60569992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Idlewine, PTA
• Ryan Duane Iggulden, CLINIC DIRECTOR
• Aaliyah Iiams
• Melinda D Iida, RN
• Laura Ikehara-Martin, MSW
• Nasreen Ajmal Ilias-Khan, M.D.
• Janelle Lynn Imes, LMP
• Rachel Kate Imhof
• Hannah O Imohi
• Kelsey White Imondi, DPT, PT

• Pharmacist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.