Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Rancho Cordova, CA

NPI number 1295882520 Active

Practice location

10725 International Dr
Rancho Cordova, CA 95670-7967

Call (916) 631-2337 Map

Fax (916) 631-2312

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY37228 (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 …

93 other providers at this address

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NPI record

NPI: 1295882520
Entity type: Organization (Type 2)
Issued: Jan 5, 2007
Last updated: Oct 23, 2020
Status: Active

Other names

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Kaiser Health Plan A & B Pharmacy 711 · doing business as
Kaiser Health Plan A & B Pharmacy 711 · 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 1295882520

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1295882520, issued on Jan 5, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Rancho Cordova, CA. The record was last updated on Oct 23, 2020.