Active NPI
Vivian K Kimura, R.PH.
- Pharmacist
- Pearl Harbor, HI
National Provider Identifier
1972590131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 342
- Practice address
- 480 Center Ave
Pearl Harbor, HI 96801 - Phone
- (808) 473-1880
- Fax
- (808) 473-0479
- NPI assigned
- Oct 3, 2005
- 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 | 342 | HI | Primary |
Addresses
Primary practice location
480 Center Ave
Pearl Harbor, HI 96801
Mailing address
59 Hoomaha St
Wahiawa, HI 96786-2544
Phone (808) 473-1880
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972590131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 HOOMAHA ST",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967862544",
"telephone_number": "808-473-1880",
"fax_number": "808-473-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 CENTER AVE",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "96801",
"telephone_number": "808-473-1880",
"fax_number": "808-473-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMURA",
"first_name": "VIVIAN",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl Harbor, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.