Kaiser Foundation Hospitals, NPI 1629119359
Managed Care Organization Pharmacy in Kihei, HI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1629119359
NPI Entity Type Organization
Provider Name Kaiser Foundation Hospitals
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1279 S Kihei Rd, Ste 120, Kihei, HI, US
Provider Mailing Address 1279 S Kihei Rd, Ste 120, Kihei, HI, US, 96753
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Jeffrey Bermejo
Official Position PHARMACIST IN CHARGE
Phone 808-643-7979

Primary Taxonomy

Taxonomy Code

3336M0003X

Taxonomy Name Managed Care Organization Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PHY-590
License State HI
Description 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.

Other Organization Name

KAISER KIHEI PHARMACY
Doing Business As

Business Address

Kaiser Foundation Hospitals
1279 S Kihei Rd
Ste 120

Kihei, HI, US

Phone: 808-891-6860
Fax: 808-891-6861

Mailing Address

Kaiser Foundation Hospitals
1279 S Kihei Rd
Ste 120
Kihei, HI, US
ZIP 96753
Phone: 808-891-6860
Fax: 808-891-6861

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0002X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2018875 PK 01
54323201 HI MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
SOAP https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways Carequality HIE OTHER No 1279 S Kihei Rd, STE 120, Kihei, HI, US

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