Kaiser Permanente Pharmacy #587
LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy #587 is an health care organization with primary practice located at 3925 Old Redwood Hwy , Santa Rosa CA 95403-1719. 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 (707) 566-5349, or through Brown, Kathryn Renouard via phone (510) 625-2363.
Contact Information
Primary practice address
3925 Old Redwood Hwy
Santa Rosa CA 95403-1719
Phone: (707) 566-5349
Fax: (707) 566-5218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY46492 | California |
Profile Details
| NPI number | 1982752721 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Inc |
| DBA Doing business as | Kaiser Permanente Pharmacy #587 |
| Authorized official | Brown, Kathryn Renouard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Nov 25th, 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 | 1982752721 | NPPES |
| California | MEDICAID | PHA464920 | |
| California | Other | 5600653 |
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