Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · San Jose, CA

NPI number 1902307358 Active

Practice location

1721 Technology Dr Fl 1
San Jose, CA 95110-1305

Call (408) 436-3335 Map

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	PHY56073 (CA)
Community/Retail Pharmacy Primary	3336C0003X	PHY56073 (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: 1902307358
Entity type: Organization (Type 2)
Issued: Feb 21, 2018
Last updated: Nov 27, 2020
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan Inc

Other names

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Kaiser Permanente Pharmacy #791 · other name

Authorized official

Kathryn Brown
VP Pharmacy Operations & Svcs, Ncal
(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 1902307358

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1902307358, issued on Feb 21, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Jose, CA. The record was last updated on Nov 27, 2020.