NPI 1417788746 · live from the CMS NPI Registry
Kaiser Foundation Health Plan, INC.
Pharmacy, Managed Care Organization Pharmacy in Hilo, HI. National Provider Identifier 1417788746, active.
NPI record
| NPI | 1417788746 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Managed Care Organization Pharmacy 3336M0003X |
| Practice location | 1292 Waianuenue Ave, Hilo, HI 96720 |
| Practice phone | 808-934-4064 |
| Mailing address | 501 Alakawa St Ste 201, Honolulu, HI 96817 |
| Enumerated | August 8, 2024 |
| Last updated | August 8, 2024 |
| Authorized official | Ross Takara, Executive Director |
| Other names | Kaiser Hilo Oncology Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.