Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Pleasanton, CA

NPI number 1629126420 Active

Practice location

7601 Stoneridge Dr Fl 1
Pleasanton, CA 94588-4501

Call (925) 847-5353 Map

Fax (925) 847-5277

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY36679 (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 …

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NPI record

NPI: 1629126420
Entity type: Organization (Type 2)
Issued: Jan 8, 2007
Last updated: Oct 7, 2020
Status: Active

Other names

<unavail>
Kaiser Health Plan South 1 Pharmacy 471 · doing business as
Kaiser Health Plan South 1 Pharmacy 471 · 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 1629126420

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1629126420, issued on Jan 8, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Pleasanton, CA. The record was last updated on Oct 7, 2020.