KAISER FOUNDATION HEALTH PLAN INC (NPI# 1275674624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275674624 |
Entity Type | Organization |
Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
Other Organization Name | LAHAINA CLINIC PHARMACY |
Practice Address |
910 Wainee St Lahaina HI 96761-1622 |
Mailing Address |
910 Wainee St Lahaina HI 96761-1694 |
Practice Telephone | 8086626945 |
Practice Fax Number | 8086626940 |
Mailing Telephone | 8086626945 |
Mailing Fax Number | 8086626940 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2018-07-19 |
Authorized Official Name | STEVE BORENSTEIN (PHARMACIST IN CHARGE) |
Authorized Official Telephone | 8086626945 |
Authorized Official Credential | PHARM D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
PHY-238 | HI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HI | 54326601 | 05 | |
PK | 2018329 | 01 |
Other Name | Type Code |
---|---|
LAHAINA CLINIC PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
1942820485 | Kaiser Foundation Health Plan Inc | Pharmacy | 5300 Mcconnell Ave Fl 1, Rm 1150, Los Angeles, CA 90066-7026 | 2020-04-24 |
1720607112 | Kaiser Foundation Health Plan Inc | Pharmacy | 6911 Convoy Ct Fl 1 Rm 1501, San Diego, CA 92111-1014 | 2020-04-15 |
1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
1437618105 | Kaiser Foundation Health Plan Inc | Pharmacy | 12761 Schabarum Ave Plaza Level Rm 1100, Irwindale, CA 91706-6807 | 2019-03-13 |
1336607506 | Kaiser Foundation Health Plan Inc | Pharmacy | 3100 Dublin Blvd Fl 1, Dublin, CA 94568-4363 | 2019-03-06 |
1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | KAISER FOUNDATION HEALTH PLAN INC. | 1 Kaiser Plz, Oakland, California 94612-3610 |
Street Address |
910 WAINEE ST |
City | LAHAINA |
State | HI |
Zip Code | 96761-1622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740242940 | Julie Katherine Tudor | Physician Assistant | 910 Wainee St, Lahaina, HI 96761-1622 | 2006-04-04 |
1831630920 | Kaiser Foundation Health Plan, Inc | Clinic/Center | 910 Wainee St, Lahaina, HI 96761-1622 | 2017-03-09 |
1861820086 | Luna Mae Noel | Physician Assistant | 910 Wainee St, Lahaina, HI 96761-1622 | 2013-10-25 |
1730326083 | Heidi A. Howard | Physical Therapist | 910 Wainee St, Lahaina, HI 96761-1622 | 2009-01-08 |
1760633853 | Brian P Edwards | Physical Therapist | 910 Wainee St, Lahaina, HI 96761-1622 | 2008-10-07 |
1770635906 | Donna Ibuyan | Pharmacist | 910 Wainee St, Lahaina, HI 96761-1622 | 2007-01-17 |
1851443121 | Steven Borenstein | Pharmacist | 910 Wainee St, Lahaina, HI 96761-1622 | 2007-01-17 |
1619029733 | Emilyn Sarol Santella | Pharmacy Technician | 910 Wainee St, Lahaina, HI 96761-1622 | 2007-01-17 |
1780748582 | Kimmie S Ouchi | Family Medicine | 910 Wainee St, Lahaina, HI 96761-1622 | 2006-12-19 |
1386727170 | Lise M. Stevens | Pediatrics | 910 Wainee St, Lahaina, HI 96761-1622 | 2006-10-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366901472 | Bridgette Grant Lcsw LLC | Clinic/Center | 4435 Lower Honoapiillani Rd, 142, Lahaina, HI 96761 | 2019-03-18 |
1366821803 | Stephen Barba | Student in an Organized Health Care Education/Training Program | 154 Papalaua Street, Suite #200, Lahaina, HI 96761 | 2015-05-28 |
1538546866 | Christine Marie Mora | Specialist | 12 Alamoana St #a, Lahaina, HI 96761 | 2015-05-06 |
1982009502 | Chelsea J North | Massage Therapist | 181 Lahainaluna Road, Suite D, Lahaina, HI 96761 | 2014-10-24 |
1427495860 | Chandy-ann Leinaala Lopes | Naturopath | 180 Dickenson St Ste 218, Lahaina, HI 96761 | 2013-05-24 |
1245554138 | David Wing Lee | Podiatrist | 40 Kupuohi St Ste 204, Lahaina, HI 96761 | 2010-03-21 |
1871736298 | Joal Breece Dennis Sr. | Marriage & Family Therapist | 980 Front St., Lahaina, HI 96761 | 2009-04-15 |
1053564526 | Community Clinic of Maui Inc | Clinic/Center | 15 Ipu Aumakua Ln, Lahaina, HI 96761 | 2008-10-28 |
1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
1659412021 | Jacoby Inc. | Acupuncturist | 930 Wainee Street, Suite 10, Lahaina, HI 96761 | 2007-02-09 |
Find all providers in zip 96761 |
Taxonomy Code | 3336M0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Managed Care Organization Pharmacy |
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093135493 | Kaiser Foundation Health Plan Inc | Pharmacy | Kaiser Kona Pharmacy, 74-517 Honokohau Street, Kailua-kona, HI 96740 | 2014-04-24 |
1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
1942341318 | Kaiser Foundation Health Plan Inc | Pharmacy | 56 700 Kamehameha Highway, Kahuku, HI 96731 | 2007-02-09 |
1023159480 | Kaiser Foundation Hospitals | Pharmacy | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2007-02-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.