Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER KOOLAU CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY NISHINA PHARM D (PHARMACIST IN CHARGE)
(808) 432-3851
Entity
Organization
Contact information
Practice address
45 602 KAMEHAMEHA HWY, KANEOHE, HI 96744-2098
(808) 432-3851
(808) 432-3854
Mailing address
45 602 KAMEHAMEHA HWY, KANEOHE, HI 96744-2098
(808) 432-3851
(808) 432-3854
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
PHY-138
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017880
PK
—
05
—
54325801
—
HI
Enumeration date
02/12/2007
Last updated
02/28/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up