Kauai Region Pharmacy West

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KAUAI REGION PHARMACY WEST

Practice address

4643 Waimea Canyon Dr.
Waimea, HI 96796

Phone

(808) 338-2450

Fax

(808) 338-2451

NPI assigned

May 6, 2021

Last updated

May 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth M Vanden Bussche

Title

Lead Retail Pharmacist

Phone

(808) 338-2450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1174107254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "808-338-2450",
            "fax_number": "808-338-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 WAIMEA CANYON DR.",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "808-338-2450",
            "fax_number": "808-338-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI REGION PHARMACY WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "VANDEN BUSSCHE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LEAD RETAIL PHARMACIST",
        "authorized_official_telephone_number": "808-338-2450"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoola Lahui Hawaii
• Cynthia Dell Horton, MD
• Island Telemedicine Inc
• Paige Javier, M.A., C.S.A.C
• Kaiser Foundation Health Plan, Inc. (Kaiser Permanente Hawaii Waimea Clinic)
• Kauai Veterans Memorial Hospital
• Kauai Veterans Memorial Hospital
• Kauai Veterans Memorial Hospital
• Kauai Veterans Memorial Hospital
• Vanessa Kelley, MS, ATC

• Community/Retail Pharmacy in Waimea, HI
• Providers in Waimea, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.