Provider Demographics
NPI:1518515337
Name:YAMAMOTO, KAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAY
Middle Name:
Last Name:YAMAMOTO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 FRANKLIN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-1445
Mailing Address - Country:US
Mailing Address - Phone:201-655-9465
Mailing Address - Fax:
Practice Address - Street 1:1035 CAMBRIDGE ST STE 23
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1154
Practice Address - Country:US
Practice Address - Phone:201-655-9465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH239056183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist