Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Stockton, CA

NPI number 1265580864 Active

Practice location

7373 West Ln Fl 1
Stockton, CA 95210-3377

Call (209) 476-3242 Map

Fax (209) 476-3202

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY37509 (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 …

Another provider at this address

Kaiser Foundation Health Plan IncCompounding Pharmacy Stockton, CA NPI 1225506199

Other community/retail pharmacy providers in Stockton

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NPI record

NPI: 1265580864
Entity type: Organization (Type 2)
Issued: Jan 8, 2007
Last updated: Oct 19, 2020
Status: Active

Other names

<unavail>
Kaiser Health Plan Mob 1 Phy 684 · doing business as
Kaiser Health Plan Mob 1 Phy 684 · doing business as

Authorized official

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

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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 1265580864

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1265580864, issued on Jan 8, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Stockton, CA. The record was last updated on Oct 19, 2020.