Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Santa Rosa, CA

NPI number 1720135056 Active

Practice location

401 Bicentennial Way Fl 1
Santa Rosa, CA 95403-2149

Call (707) 393-4180 Map

Fax (707) 393-4532

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	PHY22113 (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: 1720135056
Entity type: Organization (Type 2)
Issued: Jan 5, 2007
Last updated: Feb 28, 2023
Status: Active

Other names

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Kaiser Pharmacy 1 West Pharmacy 581 · doing business as
Kaiser Pharmacy 1 West Pharmacy 581 · 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 1720135056

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1720135056, issued on Jan 5, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 28, 2023.