KAISER PERMANENTE DOUGLASVILLE – NPI #1316251598
Pharmacy
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
KAISER PERMANENTE DOUGLASVILLE is a pharmacy located in DOUGLASVILLE, GA. NPPES has assigned the NPI number 1316251598 to KAISER PERMANENTE DOUGLASVILLE on July 30, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KAISER PERMANENTE DOUGLASVILLE” is a dba name, the actual legal business name for this organization is KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336M0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Managed Care Organization Pharmacy
The NPI profile was previously updated about 5 years ago on Aug 04, 2021. 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 DOUGLASVILLE below.
NPI Profile for
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
(about 16 years ago)
DOUGLASVILLE, GA 30135-7133 Phone: (678) 838-2226 Fax: (678) 838-2231
PHARMACY COMPLIANCE MANAGER
Phone: (770) 712-5654
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 for KAISER PERMANENTE DOUGLASVILLE
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | PK | 2125971 |
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 |
|---|---|---|
| 3336M0003X - Pharmacy / Managed Care Organization Pharmacy (Primary) |
GA | PHRE009688 |
| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
||
| 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.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggateways
- Endpoint type
- SOAP URL
- Endpoint Description
- CAREQUALITY
- Content Type
- OTHER
- Affiliation
- N
- Endpoint Location
-
6875 DOUGLAS BLVD,
DOUGLASVILLE, GA 77025-1669