Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Walnut Creek, CA

NPI number 1164570776 Active

Practice location

350 Lennon Ln
Walnut Creek, CA 94598-2419

Call (925) 906-2264 Map

Fax (925) 906-2517

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY40678 (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 …

2 other providers at this address

Other community/retail pharmacy providers in Walnut Creek

See all in Walnut Creek →

NPI record

NPI: 1164570776
Entity type: Organization (Type 2)
Issued: Jan 8, 2007
Last updated: Oct 7, 2020
Status: Active

Other names

<unavail>
Kaiser Health Plan Yosemite Phy 502 · doing business as
Kaiser Health Plan Yosemite Phy 502 · 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 1164570776

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1164570776, issued on Jan 8, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Walnut Creek, CA. The record was last updated on Oct 7, 2020.