Kaiser Permanente Pharmacy #301
LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy #301 is an health care organization with primary practice located at 9201 Big Horn Blvd , Elk Grove CA 95758-1240. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Kaiser Foundation Health Plan Inc can be contacted via phone (916) 478-5410, or through Brown, Kathryn Renouard via phone (510) 625-2363.
Contact Information
Primary practice address
9201 Big Horn Blvd
Elk Grove CA 95758-1240
Phone: (916) 478-5410
Fax: (916) 478-5425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY46508 | California |
Profile Details
| NPI number | 1073660304 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Inc |
| DBA Doing business as | Kaiser Permanente Pharmacy #301 |
| Authorized official | Brown, Kathryn Renouard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Sep 2nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073660304 | NPPES |
| Other | 5600829 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA465080 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA46080 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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