NPIMap

Organization Active NPI

Kaiser Foundation Health Plan Inc

  • Managed Care Organization Pharmacy
  • Honolulu, HI
National Provider Identifier
1154548048
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
PHY-341 Issued in HI
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Practice address
6700 Kalanianaole Hwy
Ste 111
Honolulu, HI 96825-1277
Phone
(808) 432-3750
Fax
(808) 432-3754
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jodi Sumikawa, PHARMD
Title
Pharmacist in Charge
Phone
(808) 432-3750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Managed Care Organization Pharmacy 3336M0003X PHY-341 HI Primary

Addresses

Primary practice location

6700 Kalanianaole Hwy
Ste 111
Honolulu, HI 96825-1277

Mailing address

6700 Kalanianaole Hwy
Ste 111
Honolulu, HI 96825-1277
Phone (808) 432-3750

Other identifiers 2

IdentifierTypeStateIssuer
2018326OtherPK
54314102MedicaidHI

Other names 1

  • HAWAII KAI CLINIC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0911708Kaiser Permanente Hawaii Kai Clinic PPMP6700 Kalanianaole Highway Suite 111, Honolulu, HI 96825Provider-performed microscopyFeb 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Kaiser FDN HLTH Plan Phcy379 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1154548048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KALANIANAOLE HWY",
            "address_2": "STE 111",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251277",
            "telephone_number": "808-432-3750",
            "fax_number": "808-432-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KALANIANAOLE HWY",
            "address_2": "STE 111",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251277",
            "telephone_number": "808-432-3750",
            "fax_number": "808-432-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "SUMIKAWA",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "808-432-3750",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "HI",
            "license": "PHY-341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018326",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54314102",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAWAII KAI CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.