Active NPI
Frank Hisato Hatanaka
- Pharmacist
- Redding, CA
National Provider Identifier
1952889537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25725
- Practice address
- 1060 E Cypress Ave
Redding, CA 96002 - Phone
- (530) 221-5575
- NPI assigned
- Aug 5, 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 | 25725 | CA | Primary |
Addresses
Primary practice location
1060 E Cypress Ave
Redding, CA 96002
Mailing address
8826 Heritage CT
Redding, CA 96001-9752
Phone (530) 244-0180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FRHATANA1 | Medicaid | CA |
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 |
|---|---|---|---|
| 25725 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | 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 and National Provider Directory roles.
-
- Pharmacy
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533427200000",
"number": "1952889537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8826 HERITAGE CT",
"city": "REDDING",
"state": "CA",
"postal_code": "960019752",
"telephone_number": "530-244-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 E CYPRESS AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "96002",
"telephone_number": "530-221-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATANAKA",
"first_name": "FRANK",
"middle_name": "HISATO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-05",
"last_updated": "2018-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "25725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FRHATANA1",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.