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KAISER FOUNDATION HEALTH PLAN INC NPI 1750402228


NPI Information

NPI: 1750402228
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Doing Business As: KAISER MAUI LANI PHARMACY

Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

Address:
55 MAUI LANI PKWY
WAILUKU, HI
ZIP 96793
Phone: (808) 243-6565
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KAISER FOUNDATION HEALTH PLAN INC is a managed care organization pharmacy pharmacy in Wailuku, HI. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. KAISER FOUNDATION HEALTH PLAN INC NPI is 1750402228. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Maui Lani Pharmacy.

The provider's business location address is:

55 MAUI LANI PKWY
WAILUKU, HI
ZIP 96793-416
Phone: (808) 243-6565
Fax: (808) 243-6568

The provider's authorized official is Dane Luna .
The authorized official title is Pharmacist In Charge and has the following contact phone number (808) 243-6565.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 2/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyNo
23336M0003XPharmacyManaged Care Organization PharmacyPHY-654HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
155992401MEDICAIDHAWAII
22019422OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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