Organization · Type 2 NPI

Kaiser Foundation Health Plan of Georgia, Inc.

Home Infusion Therapy Pharmacy · Kennesaw, GA

NPI number 1467104182 Active

Practice location

750 Townpark Ln NW Rm 203F310
Kennesaw, GA 30144-5824

Call (770) 514-5487 Map

Fax (770) 514-5433

Mailing address

3495 Piedmont Rd NE
Atlanta, GA 30305-1717

Other practice locations

3650 Steve Reynolds Blvd Rm 35, Duluth, GA 30096-4506 · (770) 931-6361

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Home Infusion Therapy Pharmacy Primary	3336H0001X	None listed

Home Infusion Therapy Pharmacy: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusio…

NPI record

NPI: 1467104182
Entity type: Organization (Type 2)
Issued: Jan 24, 2022
Last updated: Aug 1, 2023
Status: Active

Other names

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

Authorized official

Ms. 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 1467104182

Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1467104182, issued on Jan 24, 2022. The primary taxonomy on file is Home Infusion Therapy Pharmacy (3336H0001X), and the practice location is in Kennesaw, GA. The record was last updated on Aug 1, 2023.