NPI 1205424579 · live from the CMS NPI Registry
Kaiser Foundation Health Plan INC
Pharmacy, Community/Retail Pharmacy in Kapolei, HI. National Provider Identifier 1205424579, active.
NPI record
| NPI | 1205424579 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 401 Kamokila Blvd, Kapolei, HI 96707 |
| Practice phone | 808-643-7979 |
| Mailing address | 501 Alakawa St, Pharmacy Administation, Honolulu, HI 96817 |
| Enumerated | January 4, 2021 |
| Last updated | January 4, 2021 |
| Authorized official | Ross Takara, Executive Director Pharmacy |
| Other names | Kaiser West Oahu Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.