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KAISER LAHAINA PHARMACY
NPI 1093589681
Pharmacy - Managed Care Organization Pharmacy in Lahaina, HI

Active since November 14, 2023
2301 KAANAPALI PARKWAY, LAHAINA, HI 96761(808) 643-7979 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 22, 2023, Nov 14, 2023 (2 updates tracked since 2023).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Pharmacy
  • Managed Care Organization Pharmacy

About KAISER LAHAINA PHARMACY

This page provides the complete NPI Profile along with additional information for Kaiser Lahaina Pharmacy, a provider established in Lahaina, Hawaii operating as a Pharmacy, focusing in managed care organization pharmacy . The healthcare provider is registered in the NPI registry with number 1093589681 assigned on November 2023. The practitioner's primary taxonomy code is 3336M0003X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Kaiser Lahaina Pharmacy. The authorized official of this NPI record is Jeffrey Bermejo (Pharmacist In Charge)

NPI
1093589681 Verify this NPI
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN
Other Organization Name
KAISER LAHAINA PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2301 KAANAPALI PARKWAY LAHAINA, HI 96761
Location Phone
(808) 643-7979
Mailing Address
501 ALAKAWA ST STE 201 HONOLULU, HI 96817
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2023
Last Update Date
11-22-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Managed Care Organization Pharmacy

Taxonomy Code
3336M0003X
Type
Suppliers
Taxonomy Description
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
13336C0002XSuppliers

Pharmacy
Clinic Pharmacy

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY BERMEJO

Authorized Official Title
PHARMACIST IN CHARGE
Authorized Official Phone
(808) 268-4739

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Frequently Asked Questions

What is KAISER FOUNDATION HEALTH PLAN's NPI number?

The NPI number assigned to this healthcare provider is 1093589681, enumerated as an "organization" on November 14, 2023.

Where is the provider located?

The provider is located at 2301 KAANAPALI PARKWAY LAHAINA, HI 96761 and the phone number is (808) 643-7979.

What is the provider's specialty?

Pharmacy with taxonomy code 3336M0003X and a focus in Managed Care Organization Pharmacy.