NPIMap

Organization Active NPI

Kaiser Foundation Health Plan Inc

Doing business as Kaiser Lihue Pharmacy

  • Clinic Pharmacy
  • Lihue, HI
National Provider Identifier
1881068377
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHY-897 Issued in HI
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Doing business as
Kaiser Lihue Pharmacy
Practice address
4366 Kukui Grove St Ste 101
Kaiser Lihue Pharmacy
Lihue, HI 96766-2006
Phone
(808) 246-5624
Fax
(808) 246-5620
NPI assigned
Nov 20, 2015
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
James G/ Adams Jr.
Title
Executive Director, Finance Leader
Phone
(808) 286-6758

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X PHY-897 HI Primary
Managed Care Organization Pharmacy 3336M0003X

Addresses

Primary practice location

4366 Kukui Grove St Ste 101
Kaiser Lihue Pharmacy
Lihue, HI 96766-2006

Mailing address

4366 Kukui Grove St Ste 101
Kaiser Lihue Pharmacy
Lihue, HI 96766-2006
Phone (808) 246-5624

Other identifiers 1

IdentifierTypeStateIssuer
2155444OtherPK

Other names 1

  • Kaiser Lihue Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Foundation HLTH379 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

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

View all 19

Locations

4366 Kukui Grove St
Ste 101
Lihue, HI 96766
Phone (808) 246-0051

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1881068377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 KUKUI GROVE ST STE 101",
            "address_2": "KAISER LIHUE PHARMACY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662006",
            "telephone_number": "808-246-5624",
            "fax_number": "808-246-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4366 KUKUI GROVE ST STE 101",
            "address_2": "KAISER LIHUE PHARMACY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662006",
            "telephone_number": "808-246-5624",
            "fax_number": "808-246-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G/",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, FINANCE LEADER",
        "authorized_official_telephone_number": "808-286-6758",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "HI",
            "license": "PHY-897",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaiser Lihue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Lihue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.