Provider Type Icon

KAISER FOUNDATION HEALTH PLAN INC NPI 1356499958


NPI Information

NPI: 1356499958
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Doing Business As: KAISER HEALTH PLAN PEDIATRIC PHY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
280 MUIR ROAD
MARTINEZ, CA
ZIP 94553
Phone: (925) 372-1366
Get Directions

KAISER FOUNDATION HEALTH PLAN INC is a clinic pharmacy pharmacy in Martinez, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. KAISER FOUNDATION HEALTH PLAN INC NPI is 1356499958. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Health Plan Pediatric Phy.

The provider's business location address is:

280 MUIR ROAD
MARTINEZ, CA
ZIP 94553
Phone: (925) 372-1366
Fax: (925) 372-1368

The provider's authorized official is Larry Little .
The authorized official title is Pharmacy Service Mgr and has the following contact phone number (925) 372-1255.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.


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
13336C0002XPharmacyClinic PharmacyPHY37951CALIFORNIAYes
23336C0003XPharmacyCommunity/Retail PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA379510MEDICAIDCALIFORNIA
20554128OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.