KAISER FOUNDATION HEALTH PLAN INC NPI 1356499149

NPI Information

NPI: 1356499149
Provider Name: KAISER FOUNDATION HEALTH PLAN INC
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Doing Business As: KAISER HEALTH PLAN MB PHY 113
Address: 255 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611
Phone: (510) 752-7864

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NPI Details

KAISER FOUNDATION HEALTH PLAN INC is a community/retail pharmacy pharmacy in Oakland, 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 1356499149. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Health Plan Mb Phy 113.

The provider's business location address is:

255 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611-641
Phone: (510) 752-7864
Fax: (510) 752-7464

The provider's authorized official is Albert Carver .
The authorized official title is Vp Phrmcy Strategy Operations and has the following contact phone number (562) 658-3510.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 5/20/2010.

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
1	3336C0002X	Pharmacy	Clinic Pharmacy			No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHY33939	CALIFORNIA	Yes

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
1	PHA339390	MEDICAID	CALIFORNIA
2	0556160	OTHER		NCPDP 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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