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NPI 1114068574 · live from the CMS NPI Registry

Kaiser Foundation Health Plan INC

Pharmacy, Managed Care Organization Pharmacy in Waipahu, HI. National Provider Identifier 1114068574, active.

NPI record

NPI1114068574 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Managed Care Organization Pharmacy 3336M0003X
Practice location94 1480 Moaniani St, Waipahu, HI 96797
Practice phone808-432-3150
EnumeratedFebruary 9, 2007
Last updatedFebruary 28, 2017
Authorized officialNadine Yafuso, Pharmacist In Charge
Other namesKaiser Waipio Pharmacy

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Clinic Pharmacy3336C0002X—
Pharmacy, Managed Care Organization Pharmacy primary3336M0003XPHY-655 (HI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.