IndividualActive
Jon Wataoka, PHARMD
NPI 1093782013 · Pharmacist · Kaunakakai, HI
Provider details
- NPI number
- 1093782013
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PH-1927 (HI)
Mailing address
Po Box 1540
Kaunakakai, HI 96748
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2019-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.