Kaiser Found Hosp Pharmacy #49A

LBN: Kaiser Foundation Hospitals
Kaiser Found Hosp Pharmacy #49A is an health care organization with primary practice located at 1777 W Yosemite Ave , Manteca CA 95337-5130. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Kaiser Foundation Hospitals can be contacted via phone (209) 825-3616, or through Brown, Kathryn Renouard via phone (510) 625-2363.

Contact Information

Primary practice address
1777 W Yosemite Ave Manteca CA 95337-5130
Phone: (209) 825-3616
Fax: (209) 825-3617
Website:
Map and Directions
Authorized official contact:
Name: Brown, Kathryn Renouard
Phone: (510) 625-2363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X HSP46930 California

Profile Details

NPI number 1457409294
LBN Legal business name Kaiser Foundation Hospitals
DBA Doing business as Kaiser Found Hosp Pharmacy #49A
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 28th, 2021 - about 3 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 1457409294 NPPES
Other 5616113 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHB469300 NCPDP PROVIDER IDENTIFICATION NUMBER

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