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Export Provider Record NPI 1114068574
Kaiser Foundation Health Plan Inc
Organization Subpart: NO
Active
NPI Number1114068574
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Managed Care Organization Pharmacy
Provider Details
NPI1114068574
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-02-09
Last Updated2017-02-28
Authorized OfficialNadine Yafuso
PHARMACIST IN CHARGE
Phone: 8084323151
Mailing Address94 1480 Moaniani St
Waipahu, HI 96797
United States
Phone: (808) 432-3150 | Fax: (808) 432-3155
📍 View Map
Primary Practice Address94 1480 Moaniani St
Waipahu, HI 96797
United States
Phone: (808) 432-3150 | Fax: (808) 432-3155
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2019423PK
MEDICAIDHI55991601
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336C0002X – Pharmacy, Clinic Pharmacy
Yes3336M0003X – Pharmacy, Managed Care Organization PharmacyHIPHY-655
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About NPI 1114068574

Kaiser Foundation Health Plan Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1114068574. The primary specialty listed is Pharmacy, Managed Care Organization Pharmacy. The organization is located in Waipahu, HI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114068574?

NPI 1114068574 belongs to Kaiser Foundation Health Plan Inc, a Pharmacy, Managed Care Organization Pharmacy in Waipahu, HI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114068574 active?

The current status of NPI 1114068574 in the NPPES registry is Active. The record was last updated on 2017-02-28.

What specialty is NPI 1114068574?

NPI 1114068574 is classified under the taxonomy Pharmacy, Managed Care Organization Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114068574?

You can verify NPI 1114068574 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114068574?

The primary practice address on file for NPI 1114068574 is 94 1480 Moaniani St, Waipahu, HI 96797. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114068574 issued?

NPI 1114068574 was first issued (enumerated) on 2007-02-09. The NPPES record was last updated on 2017-02-28.

Practice Location Map

Kaiser Foundation Health Plan Inc is located at 94 1480 Moaniani St, Waipahu, HI. Use the map below to find directions or verify the practice location.

📍 94 1480 Moaniani St, Waipahu, HI 96797  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kaiser Foundation Health Plan Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114068574. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Managed Care Organization PharmacyPHY-655HI
Data Verified from CMS NPPES Last synced: 2026-06-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162