NPIMap

Organization Active NPI

Kaiser Foundation Health Plan Inc

  • Managed Care Organization Pharmacy
  • Honolulu, HI
National Provider Identifier
1780639724
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
PHY-671 Issued in HI
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Practice address
2828 PA a St
Ste 2400
Honolulu, HI 96819
Phone
(808) 432-5760
Fax
(808) 432-5759
NPI assigned
May 24, 2006
Last updated
Jun 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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

Authorized official

Name
Suthana Tepraseuth
Title
Pharmacist in Charge
Phone
(808) 432-5702

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU
Managed Care Organization Pharmacy 3336M0003X PHY-671 HI Primary

Addresses

Primary practice location

2828 PA a St
Ste 2400
Honolulu, HI 96819

Mailing address

2828 PA a St
Ste 2400
Honolulu, HI 96819
Phone (808) 432-5760

Other identifiers 2

IdentifierTypeStateIssuer
58099501MedicaidHI
2019440OtherPK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1780639724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 PA A ST",
            "address_2": "STE 2400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96819",
            "telephone_number": "808-432-5760",
            "fax_number": "808-432-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 PA A ST",
            "address_2": "STE 2400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96819",
            "telephone_number": "808-432-5760",
            "fax_number": "808-432-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "TEPRASEUTH",
        "authorized_official_first_name": "SUTHANA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "808-432-5702"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "HI",
            "license": "PHY-671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58099501",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 9, 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.