Kaiser Koolau Clinic Pharmacy

LBN: Kaiser Foundation Health Plan Inc
Kaiser Koolau Clinic Pharmacy is an health care organization with primary practice located at 45 602 Kamehameha Hwy , Kaneohe HI 96744-2098. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Managed Care Organization Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (808) 432-3851, or through Nishina, Stacey via phone (808) 432-3851.

Contact Information

Primary practice address
45 602 Kamehameha Hwy Kaneohe HI 96744-2098
Fax: (808) 432-3854
Website:
Authorized official contact:
Name: Nishina, Stacey PHARM D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Managed Care Organization Pharmacy 3336M0003X PHY-138 Hawaii

Profile Details

NPI number 1669514386
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Koolau Clinic Pharmacy
Authorized official Nishina, Stacey PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Feb 28th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669514386 NPPES
Other 2017880 PK
MEDICAID 54325801 PK

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