Kaiser Permanente Pharmacy #215

LBN: Kaiser Foundation Hospitals
Kaiser Permanente Pharmacy #215 is an health care organization with primary practice located at 975 Sereno Drive Hosp Bldg , Vallejo CA 94589. 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 Hospitals can be contacted via phone (707) 651-2071, or through Brown, Kathryn Renouard via phone (510) 625-2363.

Contact Information

Primary practice address
975 Sereno Drive Hosp Bldg Vallejo CA 94589
Phone: (707) 651-2071
Fax: (707) 651-2073
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 PHY47092 California

Profile Details

NPI number 1053469890
LBN Legal business name Kaiser Foundation Hospitals
DBA Doing business as Kaiser Permanente Pharmacy #215
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 20th, 2021 - 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 1053469890 NPPES
Other 5615274 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA470920 NCPDP PROVIDER IDENTIFICATION NUMBER

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