Kaiser Foundation Hospitals

Primary specialty

Managed Care Organization PharmacyTaxonomy code 3336M0003X

License

PHY563 Issued in HI

Legal business name

KAISER FOUNDATION HOSPITALS

Practice address

1292 Waianuenue Ave
Hilo, HI 96720-1228

Phone

(808) 934-4090

Fax

(808) 934-4089

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Robert Sandstrom, PHARMD

Title

Pharmacist in Charge

Phone

(808) 934-4090

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KAISER HILO PHARMACY Doing business as

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1740407840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201228",
            "telephone_number": "808-934-4090",
            "fax_number": "808-934-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201228",
            "telephone_number": "808-934-4090",
            "fax_number": "808-934-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "SANDSTROM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "808-934-4090",
        "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": "PHY563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018856",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54315901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAISER HILO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terina Kaire-Gataulu
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan, Inc.
• Kaiser Foundation Health Plan, Inc.
• Kaiulu Wellness LLC
• Chelsea Kaku
• Cindy Ann Raynee Kalani, MT
• Trace Kalei
• Esther Tamikah Naleihulumai Kaleo, DNP

• Pharmacy in Hilo, HI
• Providers in Hilo, HI by specialty
• Pharmacy in Hawaii

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.