Provider Demographics
NPI:1508244112
Name:YAMASHITA, KAI ISAO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KAI
Middle Name:ISAO
Last Name:YAMASHITA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1559 MONA LOOP
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3247
Mailing Address - Country:US
Mailing Address - Phone:808-223-0556
Mailing Address - Fax:
Practice Address - Street 1:1559 MONA LOOP
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3247
Practice Address - Country:US
Practice Address - Phone:808-223-0556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist