KAISER PERMANENTE PHARMACY #921 – NPI #1669895942
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

KAISER PERMANENTE PHARMACY #921 is a pharmacy located in SAN LEANDRO, CA. NPPES has assigned the NPI number 1669895942 to KAISER PERMANENTE PHARMACY #921 on January 22, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KAISER PERMANENTE PHARMACY #921” is a dba name, the actual legal business name for this organization is KAISER FOUNDATION HEALTH PLAN INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 6 years ago on Oct 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAISER PERMANENTE PHARMACY #921 below.

NPI Profile for
KAISER FOUNDATION HEALTH PLAN INC

NPI Number
1669895942
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAISER FOUNDATION HEALTH PLAN INC
Doing Business As (dba): KAISER PERMANENTE PHARMACY #921
Primary location
2500 MERCED ST FL 1
SAN LEANDRO, CA 94577-4201
Phone: (510) 454-6960 Fax:
Mailing address
1800 HARRISON ST FL 13
OAKLAND, CA 94612-3466
Phone: (510) 454-6960 Fax:
Organization Subpart
No
Authorized Official
KATHRYN BROWN
VP PHARMACY OPERATIONS AND SERVICES
Phone: (510) 625-2363
Updated
Certification Date
Oct 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KAISER PERMANENTE PHARMACY #921

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDP5650331
OTHERPK2144064
MEDICAIDCA1669895942
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
CA PHY51770
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.