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KAISER FOUNDATION HEALTH PLAN INC NPI 1497183271


NPI Profile

NPI: 1497183271
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Doing Business As: KAISER PERMANENTE PHARMACY #105

Classification:Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3600 BROADWAY FL 1
OAKLAND, CA
ZIP 94611
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Phone: (510) 752-4200

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 1497183271. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Pharmacy #105.

The provider's business location address is:

3600 BROADWAY FL 1
OAKLAND, CA
ZIP 94611
Phone: (510) 752-4200

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 enumeration date for this NPI number is 10/14/2013 and was last updated on 10/20/2020.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY51636CALIFORNIAYes

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
12142505OTHERPK
21497183271MEDICAIDCALIFORNIA
35649085OTHERNCPDP

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: 10/10/2021

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