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1093589681 NPI number — KAISER FOUNDATION HEALTH PLAN

NPI Number: 1093589681
Health Care Provider/Practitioner: KAISER FOUNDATION HEALTH PLAN

Information about “1093589681” NPI (KAISER FOUNDATION HEALTH PLAN) exists in 1093589681 in HTML format HTML  |  1093589681 in plain Text format TXT  |  1093589681 in PDF (Portable Document Format) PDF  |  1093589681 in an XML format XML  formats.

NPI Number : 1093589681 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093589681",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KAISER FOUNDATION HEALTH PLAN",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "501 ALAKAWA ST STE 201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HONOLULU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96817-5700",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2301 KAANAPALI PARKWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAHAINA",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96761",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-643-7979",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/14/2023",
    "LastUpdateDate": "11/22/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BERMEJO",
    "AuthorizedOfficialFirstName": "JEFFREY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "808-268-4739",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336C0002X",
          "TaxonomyName": "Clinic Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336M0003X",
          "TaxonomyName": "Managed Care Organization Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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