Organization · Type 2 NPI
Kaiser Foundation Health Plan of Georgia, Inc.
Managed Care Organization Pharmacy · Sharpsburg, GA
NPI number
1053266957
Active
Practice location
100 Fischer Crossings Dr Ste 115
Sharpsburg, GA 30277-3681
Fax (770) 220-3885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Managed Care Organization Pharmacy Primary | 3336M0003X | None listed |
Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
About NPI 1053266957
Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1053266957, issued on Mar 4, 2026. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Sharpsburg, GA. The record was last updated on Mar 4, 2026.