NPI 1750402228 · live from the CMS NPI Registry
Kaiser Foundation Health Plan INC
Pharmacy, Managed Care Organization Pharmacy in Wailuku, HI. National Provider Identifier 1750402228, active.
NPI record
| NPI | 1750402228 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Managed Care Organization Pharmacy 3336M0003X |
| Practice location | 55 Maui Lani Pkwy, Wailuku, HI 96793 |
| Practice phone | 808-243-6565 |
| Enumerated | April 3, 2007 |
| Last updated | February 28, 2017 |
| Authorized official | Dane Luna, Pharmacist In Charge |
| Other names | Kaiser Maui Lani Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Clinic Pharmacy | 3336C0002X | — |
| Pharmacy, Managed Care Organization Pharmacy primary | 3336M0003X | PHY-654 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.