Kaiser Permanente Pharmacy #572

LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy #572 is an health care organization with primary practice located at 4501 Sand Creek Rd 1St Flr Rm 1125, Antioch CA 94531-8687. 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 (925) 813-7940, or through Brown, Kathryn Renouard via phone (510) 625-2363.

Contact Information

Primary practice address
4501 Sand Creek Rd 1St Flr Rm 1125 Antioch CA 94531-8687
Phone: (925) 813-7940
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Kathryn Renouard
Phone: (510) 625-2363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48581 California

Profile Details

NPI number 1588860951
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Permanente Pharmacy #572
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2007
Last updated Oct 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588860951 NPPES
California MEDICAID PHA485810
California Other 5627293

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