Organization · Type 2 NPI

Kaiser Foundation Health Plan of Georgia, Inc.

Managed Care Organization Pharmacy · Cumming, GA

NPI number 1447487574 Active

Practice location

1400 Northside Forsyth Dr Ste 350
Cumming, GA 30041-6018

Fax (404) 949-5242

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Managed Care Organization Pharmacy Primary	3336M0003X	PHRE009584 (GA)

Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

2 other providers at this address

NPI record

NPI: 1447487574
Entity type: Organization (Type 2)
Issued: Jun 16, 2009
Last updated: Aug 4, 2021
Status: Active

Other names

<unavail>
Kaiser Permanente Forsyth Pharmacy · doing business as
Kaiser Permanente Forsyth Pharmacy · doing business as

Authorized official

Diane Sanders
Pharmacy Compliance Manager
(770) 712-5654

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 1447487574

Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1447487574, issued on Jun 16, 2009. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Cumming, GA. The record was last updated on Aug 4, 2021.