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KAISER FOUNDATION HEALTH PLAN INC NPI 1225194590


NPI Information

NPI: 1225194590
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Doing Business As: KAISER PERMANENTE PHARMACY #414

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

CLIA Number: 05D0606477

Address:
710 LAWRENCE EXPY
4TH FL
SANTA CLARA, CA
ZIP 95051
Phone: (408) 851-4695
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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 05D0606477 - health maintenance organization with a certificate type of Certificate of Accreditation.

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 11/14/2023

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.