Kaiser Health Plan Mob Pharmacy 541

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Mob Pharmacy 541 is an health care organization with primary practice located at 400 Muir Road 3Rd Floor , Martinez CA 94553. The organization recently has 2 registered licenses in different health care specialties including Suppliers / 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 (925) 372-1038, or through Brown, Kathryn Renouard via phone (510) 625-2363.

Contact Information

Primary practice address
400 Muir Road 3Rd Floor Martinez CA 94553
Phone: (925) 372-1038
Fax: (925) 372-1714
Website:
Map and Directions
Authorized official contact:
Name: Brown, Kathryn Renouard
Phone: (510) 625-2363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY32813 California

Profile Details

NPI number 1851449599
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Mob Pharmacy 541
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Sep 30th, 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 1851449599 NPPES
Other 0554104 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA328130 NCPDP PROVIDER IDENTIFICATION NUMBER

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