NPIMap

Organization Active NPI

Kaiser Foundation Hospitals

  • Managed Care Organization Pharmacy
  • Kihei, HI
National Provider Identifier
1629119359
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
PHY-590 Issued in HI
Legal business name
KAISER FOUNDATION HOSPITALS
Practice address
1279 S Kihei Rd
Ste 120
Kihei, HI 96753-5228
Phone
(808) 891-6860
Fax
(808) 891-6861
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Jeffrey Bermejo
Title
Pharmacist in Charge
Phone
(808) 643-7979

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Managed Care Organization Pharmacy 3336M0003X PHY-590 HI Primary

Addresses

Primary practice location

1279 S Kihei Rd
Ste 120
Kihei, HI 96753-5228

Mailing address

1279 S Kihei Rd
Ste 120
Kihei, HI 96753
Phone (808) 891-6860

Other identifiers 2

IdentifierTypeStateIssuer
2018875OtherPK
54323201MedicaidHI

Other names 1

  • KAISER KIHEI PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Foundation185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1629119359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 S KIHEI RD",
            "address_2": "STE 120",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "808-891-6860",
            "fax_number": "808-891-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 S KIHEI RD",
            "address_2": "STE 120",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967535228",
            "telephone_number": "808-891-6860",
            "fax_number": "808-891-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BERMEJO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "808-643-7979"
    },
    "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-590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018875",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54323201",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1279 S Kihei Rd",
            "address_2": "STE 120",
            "city": "Kihei",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967535228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KAISER KIHEI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KAISER KIHEI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.