NPI 1093589681 · live from the CMS NPI Registry
Kaiser Foundation Health Plan
Pharmacy, Managed Care Organization Pharmacy in Lahaina, HI. National Provider Identifier 1093589681, active.
NPI record
| NPI | 1093589681 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Managed Care Organization Pharmacy 3336M0003X |
| Practice location | 2301 Kaanapali Parkway, Lahaina, HI 96761 |
| Practice phone | 808-643-7979 |
| Mailing address | 501 Alakawa St Ste 201, Honolulu, HI 96817 |
| Enumerated | November 14, 2023 |
| Last updated | November 22, 2023 |
| Authorized official | Jeffrey Bermejo, Pharmacist In Charge |
| Other names | Kaiser Lahaina Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Clinic Pharmacy | 3336C0002X | — |
| Pharmacy, Managed Care Organization Pharmacy primary | 3336M0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.