Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #922
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
(510) 625-2363
Entity
Organization
Contact information
Practice address
2500 MERCED ST, 2ND FL RM 2966, SAN LEANDRO, CA 94577-4201
(510) 454-2747
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
(510) 454-2747
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY51911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146111
PK
—
Enumeration date
06/03/2014
Last updated
10/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up