Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Elk Grove, CA

NPI number 1700164548 Active

Practice location

10305 Promenade Pkwy Fl 1
Elk Grove, CA 95757-9400

Call (916) 478-5455 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	PHY50656 (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: 1700164548
Entity type: Organization (Type 2)
Issued: Jul 27, 2011
Last updated: Sep 2, 2020
Status: Active

Other names

<unavail>
Kaiser Permanente Pharmacy #303 · doing business as
Kaiser Permanente Pharmacy #303 · 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 1700164548

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1700164548, issued on Jul 27, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Elk Grove, CA. The record was last updated on Sep 2, 2020.