NPI 1629119359 · live from the CMS NPI Registry
Kaiser Foundation Hospitals
Pharmacy, Managed Care Organization Pharmacy in Kihei, HI. National Provider Identifier 1629119359, active.
NPI record
| NPI | 1629119359 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Managed Care Organization Pharmacy 3336M0003X |
| Practice location | 1279 S Kihei Rd, Ste 120, Kihei, HI 96753 |
| Practice phone | 808-891-6860 |
| Enumerated | February 8, 2007 |
| Last updated | June 15, 2021 |
| Authorized official | Jeffrey Bermejo, Pharmacist In Charge |
| Other names | Kaiser Kihei Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Clinic Pharmacy | 3336C0002X | — |
| Pharmacy, Managed Care Organization Pharmacy primary | 3336M0003X | PHY-590 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.