Kaiser Permanente Pharmacy No 613

LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy No 613 is an health care organization with primary practice located at 2345 Fair Oaks Blvd , Sacramento CA 95825-4708. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (916) 480-6714, or through Brown, Kathryn Renouard via phone (510) 625-2363.

Contact Information

Primary practice address
2345 Fair Oaks Blvd Sacramento CA 95825-4708
Phone: (916) 480-6714
Fax: (916) 480-6720
Website:
Map and Directions
Authorized official contact:
Name: Brown, Kathryn Renouard
Phone: (510) 625-2363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY45624 California

Profile Details

NPI number 1730237546
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Permanente Pharmacy No 613
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 23rd, 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 1730237546 NPPES
California MEDICAID PHA456240
California Other 0565789

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