Provider Type Icon

KAISER FOUNDATION HEALTH PLAN INC NPI 1861919540


NPI Information

NPI: 1861919540
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Other Name: KAISER PERMANENTE PHARMACY #398

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
820 LAS GALLINAS AVE FL 1
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 446-2552
Get Directions

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 1861919540. The provider is registered as an organization entity type.
The provider Other Name Is Kaiser Permanente Pharmacy #398.

The provider's business location address is:

820 LAS GALLINAS AVE FL 1
SAN RAFAEL, CA
ZIP 94903-410
Phone: (415) 446-2552

The provider's authorized official is Kathryn Brown .
The authorized official title is Vp Pharmacy Operations & Svcs, Ncal and has the following contact phone number (510) 625-2363.

The enumeration date for this NPI number is 8/24/2017 and was last updated on 11/24/2020.


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
1333600000XPharmacyPHY55724CALIFORNIANo
23336C0004XPharmacyCompounding PharmacyPHY55724CALIFORNIAYes

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
15664126OTHERCALIFORNIANCPDP

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.