KAISER FOUNDATION HEALTH PLAN INC (NPI# 1699816058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699816058 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER WAILUKU PHARMACY |
| Practice Address |
80 Mahalani St Wailuku HI 96793-2531 |
| Practice Telephone | 8082436565 |
| Practice Fax Number | 8082436065 |
| Mailing Telephone | 8082436565 |
| Mailing Fax Number | 8082436065 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | DANE LUNA (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 8082436155 |
| 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-214 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 54333101 | 05 | |
| PK | 2018333 | 01 |
| Other Name | Type Code |
|---|---|
| KAISER WAILUKU 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 |
80 MAHALANI ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053800 | Hillary Blake Hardy | Physical Therapist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-05-23 |
| 1437620515 | Heidi Kyoko Garcia | Clinical Nurse Specialist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2018-12-16 |
| 1275985111 | Kaiser Permanente | Clinic/Center | 80 Mahalani St, Wailuku, HI 96793-2531 | 2016-07-04 |
| 1033516687 | Cassandra Bick Johnson | Dietitian, Registered | 80 Mahalani St, Wailuku, HI 96793-2531 | 2014-11-25 |
| 1073888194 | Rainbow Dialysis LLC | Clinic/Center | 80 Mahalani St, Ste 100, Wailuku, HI 96793-2531 | 2012-03-22 |
| 1558633685 | Stephanie Hokulani Garcia | Registered Nurse | 80 Mahalani St, Wailuku, HI 96793-2531 | 2012-02-06 |
| 1376714451 | Benjamin T. Shurtleff | Urology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2008-03-17 |
| 1699964775 | Connie J Debord | Social Worker | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-10-15 |
| 1386843571 | Kristin M Redenbaugh | Obstetrics & Gynecology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-07-17 |
| 1578769964 | Courtney Michelle Ramirez | Internal Medicine | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| 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.