KAISER FOUNDATION HEALTH PLAN INC
NPI 1780639724
Pharmacy - Managed Care Organization Pharmacy in Honolulu, HI

Active since May 24, 2006
2828 PA A ST, STE 2400, HONOLULU, HI 96819(808) 432-5760(808) 432-5759 Get Directions Write a Review

NPPES record last updated: June 9, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 9, 2017, Feb 16, 2017 (2 updates tracked since 2017).

About Kaiser Foundation Health Plan Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER FOUNDATION HEALTH PLAN INC (NPI 1780639724) is a healthcare organization registered as a managed care organization pharmacy in Honolulu, Hawaii and active in the NPI registry since May 2006. The organization lists Suthana Tepraseuth, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1780639724
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address2828 PA A ST, STE 2400Honolulu, HI 96819
Mailing Address2828 Pa A St, Ste 2400Honolulu, HI 96819 · (808) 432-5760 · Fax (808) 432-5759
Fax(808) 432-5759
Organization SubpartNo
Authorized OfficialSuthana TepraseuthPharmacist In Charge · (808) 432-5702
Enumeration DateMay 24, 2006
Last NPPES UpdateJune 9, 20172 updates tracked since enumeration
NPI 1780639724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code3336M0003X
License Licensed in HI · PHY-671
Definition

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.

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
2828 PA A ST, Honolulu, HI 96819

Other Identifiers 2

Other2019440Pk
Medicaid58099501HI

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780639724, enumerated as an "organization" on May 24, 2006.

The provider is located at 2828 PA A ST STE 2400 HONOLULU, HI 96819 and the phone number is (808) 432-5760.

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

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.