Active NPI
Ryan Wade Ikaika Nishikawa, PHARMD
- Pharmacist
- Kaneohe, HI
National Provider Identifier
1932608221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-3536
- Practice address
- 46-047 Kamehameha Hwy Ste C
Kaneohe, HI 96744-3736 - Phone
- (808) 235-4551
- Fax
- (808) 235-4551
- NPI assigned
- Feb 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | PH-3536 | HI | Primary |
Addresses
Primary practice location
46-047 Kamehameha Hwy Ste C
Kaneohe, HI 96744-3736
Mailing address
46-047 Kamehameha Hwy Ste C
Kaneohe, HI 96744-3736
Phone (808) 235-4551
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH-3536 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Kapolei, HI
- NPI 1700565793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517529600000",
"number": "1932608221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46-047 KAMEHAMEHA HWY STE C",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443736",
"telephone_number": "808-235-4551",
"fax_number": "808-236-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46-047 KAMEHAMEHA HWY STE C",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443736",
"telephone_number": "808-235-4551",
"fax_number": "808-235-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHIKAWA",
"first_name": "RYAN",
"middle_name": "WADE IKAIKA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-02",
"last_updated": "2018-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.