Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Fremont, CA

NPI number 1124176094 Active

Practice location

39400 Paseo Padre Pkwy
Fremont, CA 94538-2310

Call (510) 248-3792 Map

Fax (510) 248-3790

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY39674 (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 …

357 other providers at this address

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NPI record

NPI: 1124176094
Entity type: Organization (Type 2)
Issued: Jan 8, 2007
Last updated: Oct 21, 2020
Status: Active

Other names

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Kaiser Health Plan Niles 3 Phy 164 · doing business as
Kaiser Health Plan Niles 3 Phy 164 · 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.

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About NPI 1124176094

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1124176094, issued on Jan 8, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Fremont, CA. The record was last updated on Oct 21, 2020.