KAISER FOUNDATION HEALTH PLAN INC NPI 1225194590

NPI Information

  • NPI: 1225194590
  • Provider Name: KAISER FOUNDATION HEALTH PLAN INC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Doing Business As: KAISER PERMANENTE PHARMACY #414
  • CLIA Number: 05D1014584
  • Address: 710 LAWRENCE EXPY
    4TH FL
    SANTA CLARA, CA
    ZIP 95051
  • Phone: (408) 851-4695

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NPI Details

KAISER FOUNDATION HEALTH PLAN INC is a compounding pharmacy pharmacy in Santa Clara, 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 1225194590. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Pharmacy #414.

The provider's business location address is:

710 LAWRENCE EXPY
4TH FL
SANTA CLARA, CA
ZIP 95051-173
Phone: (408) 851-4695
Fax: (408) 851-4006

The provider's authorized official is Kathryn Renouard Brown .
The authorized official title is Vp Pharmacy Operations And Services and has the following contact phone number (510) 625-2363.

The CLIA number assigned to this NPI record is 05D1014584 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/29/2006 and was last updated on 11/27/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding PharmacyPHY47154CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15624893OTHERNCPDP 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: 3/30/2025

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