Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · San Bruno, CA

NPI number 1003963331 Active

Practice location

801 Traeger Ave
San Bruno, CA 94066-3048

Call (650) 742-2388 Map

Fax (650) 742-2567

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY38292 (CA)

Community/Retail Pharmacy: 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 …

23 other providers at this address

Other community/retail pharmacy providers in San Bruno

See all in San Bruno →

NPI record

NPI: 1003963331
Entity type: Organization (Type 2)
Issued: Jan 5, 2007
Last updated: Nov 24, 2020
Status: Active

Other names

<unavail>
Kaiser Health Plan Bayhill Pharmacy 353 · doing business as
Kaiser Health Plan Bayhill Pharmacy 353 · doing business as

Authorized official

Kathryn Renouard Brown
VP Pharmacy Operations and Services
(510) 625-2363

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1003963331

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1003963331, issued on Jan 5, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Bruno, CA. The record was last updated on Nov 24, 2020.