KAISER FOUNDATION HEALTH PLAN INC NPI 1225506199

NPI Information

  • NPI: 1225506199
  • Provider Name: KAISER FOUNDATION HEALTH PLAN INC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Other Name: KAISER ONCOLOGY PHARMACY #680
  • Address: 7373 WEST LN FL 1
    RM #1310
    STOCKTON, CA
    ZIP 95210
  • Phone: (209) 476-5478

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NPI Details

KAISER FOUNDATION HEALTH PLAN INC is a compounding pharmacy pharmacy in Stockton, 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 1225506199. The provider is registered as an organization entity type.
The provider Other Name Is Kaiser Oncology Pharmacy #680.

The provider's business location address is:

7373 WEST LN FL 1
RM #1310
STOCKTON, CA
ZIP 95210
Phone: (209) 476-5478

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 11/8/2018 and was last updated on 9/30/2020.

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
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyYes

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
15667475OTHERCALIFORNIANCPDP

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: 11/21/2025

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