Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Compounding Pharmacy · Roseville, CA

NPI number 1043776719 Active

Practice location

1600 Eureka Rd, Bldg C Fl 2 Rm 2MJ01A
Roseville, CA 95661

Call (916) 474-6515 Map

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Compounding Pharmacy Primary	3336C0004X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	None listed

Compounding Pharmacy: 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 compoun…

701 other providers at this address

NPI record

NPI: 1043776719
Entity type: Organization (Type 2)
Issued: Feb 18, 2019
Last updated: Oct 23, 2020
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan Inc

Other names

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Kaiser Oncology Pharmacy #598 · other name
Kaiser Oncology Pharmacy #598 · other name

Authorized official

Kathryn Renouard Brown
VP Pharmacy Operations & Svcs, Ncal
(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.

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About NPI 1043776719

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1043776719, issued on Feb 18, 2019. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Roseville, CA. The record was last updated on Oct 23, 2020.