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KAISER FOUNDATION HEALTH PLAN INC NPI 1205073244


NPI Information

NPI: 1205073244
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Doing Business As: KAISER PERMANENTE PHRMCY #267

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D0949913

Address:
1600 EUREKA RD
ROSEVILLE, CA
ZIP 95661
Phone: (916) 474-6560
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KAISER FOUNDATION HEALTH PLAN INC is a community/retail pharmacy pharmacy in Roseville, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KAISER FOUNDATION HEALTH PLAN INC NPI is 1205073244. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Phrmcy #267.

The provider's business location address is:

1600 EUREKA RD
ROSEVILLE, CA
ZIP 95661
Phone: (916) 474-6560

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) 658-3671.

The CLIA number assigned to this NPI record is 05D0949913 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/13/2009 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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY 49286CALIFORNIAYes

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
11205073244MEDICAIDCALIFORNIA
25633347OTHERNCPDP PROVIDER IDENTIFICATION 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

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