Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · San Leandro, CA

NPI number 1669895942 Active

Practice location

2500 Merced St Fl 1
San Leandro, CA 94577-4201

Call (510) 454-6960 Map

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHY51770 (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 …

3 other providers at this address

Other community/retail pharmacy providers in San Leandro

See all in San Leandro →

NPI record

NPI: 1669895942
Entity type: Organization (Type 2)
Issued: Jan 22, 2014
Last updated: Oct 21, 2020
Status: Active

Other names

<unavail>
Kaiser Permanente Pharmacy #921 · doing business as
Kaiser Permanente Pharmacy #921 · 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.

Is this your record? How to update it.

About NPI 1669895942

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1669895942, issued on Jan 22, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Leandro, CA. The record was last updated on Oct 21, 2020.