Kaiser Permanente Pharmacy #142

LBN: Kaiser Foundation Hospitals
Kaiser Permanente Pharmacy #142 is an health care organization with primary practice located at 27400 Hesperian Blvd , Hayward CA 94545-4235. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kaiser Foundation Hospitals can be contacted via phone (510) 784-6716, or through Kvancz, David via phone (562) 658-3510.

Contact Information

Primary practice address
27400 Hesperian Blvd Hayward CA 94545-4235
Fax: (510) 784-6717
Website:
Authorized official contact:
Name: Kvancz, David

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46815 California
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1154479905
LBN Legal business name Kaiser Foundation Hospitals
DBA Doing business as Kaiser Permanente Pharmacy #142
Authorized official Kvancz, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 22nd, 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 1154479905 NPPES
California MEDICAID PHA468150
California Other 5616125

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