Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Oakland, CA

NPI number 1770723645 Active

Practice location

3701 Broadway Fl 1
Oakland, CA 94611-5613

Call (510) 752-4188 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	PHY 49853 (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 …

4 other providers at this address

Other community/retail pharmacy providers in Oakland

See all in Oakland →

NPI record

NPI: 1770723645
Entity type: Organization (Type 2)
Issued: Mar 4, 2009
Last updated: Oct 20, 2020
Status: Active

Other names

<unavail>
Kaiser Permanente Pharmacy #102 · doing business as
Kaiser Permanente Pharmacy #102 · 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 1770723645

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1770723645, issued on Mar 4, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Oakland, CA. The record was last updated on Oct 20, 2020.