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KAISER FOUNDATION HEALTH PLAN INC NPI 1093192577


NPI Information

NPI: 1093192577
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Other Name: KAISER PERMANENTE PHARMACY #397

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
99 MONTECILLO RD
BLDG 2 FL-5 RM 5254
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 444-2319
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KAISER FOUNDATION HEALTH PLAN INC is a compounding pharmacy pharmacy in San Rafael, CA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. KAISER FOUNDATION HEALTH PLAN INC NPI is 1093192577. The provider is registered as an organization entity type.
The provider Other Name Is Kaiser Permanente Pharmacy #397.

The provider's business location address is:

99 MONTECILLO RD
BLDG 2 FL-5 RM 5254
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 444-2319

The provider's authorized official is William Perry Flowers .
The authorized official title is Vp Acute Transitional Care and has the following contact phone number (562) 658-3510.

The enumeration date for this NPI number is 5/4/2015 and was last updated on 6/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPHY52494CALIFORNIANo
23336C0004XPharmacyCompounding PharmacyPHY52494CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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