Organization · Type 2 NPI

Kaiser Foundation Health Plan

Managed Care Organization Pharmacy · Lahaina, HI

NPI number 1093589681 Active

Practice location

2301 Kaanapali Parkway
Lahaina, HI 96761

Call (808) 643-7979 Map

Mailing address

501 Alakawa St Ste 201
Honolulu, HI 96817-5700

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy	3336C0002X	None listed
Managed Care Organization Pharmacy Primary	3336M0003X	None listed

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.

NPI record

NPI: 1093589681
Entity type: Organization (Type 2)
Issued: Nov 14, 2023
Last updated: Nov 22, 2023
Status: Active

Other names

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Kaiser Lahaina Pharmacy · doing business as
Kaiser Lahaina Pharmacy · doing business as

Authorized official

Jeffrey Bermejo
Pharmacist In Charge
(808) 268-4739

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093589681

Kaiser Foundation Health Plan's National Provider Identifier is 1093589681, issued on Nov 14, 2023. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Lahaina, HI. The record was last updated on Nov 22, 2023.