Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Santa Rosa, CA

NPI number 1285782011 Active

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Call (707) 571-3003 Map

Fax (707) 571-3730

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY46089 (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 …

582 other providers at this address

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NPI record

NPI: 1285782011
Entity type: Organization (Type 2)
Issued: Jan 8, 2007
Last updated: Nov 25, 2020
Status: Active

Other names

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Kaiser Oncology Pharmacy #586 · doing business as
Kaiser Oncology Pharmacy #586 · 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 1285782011

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1285782011, issued on Jan 8, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Santa Rosa, CA. The record was last updated on Nov 25, 2020.