# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KAISER FDN HSP PHY 21A
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629126412
- **Authorized official:** KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
- **Authorized official phone:** (510) 625-2363

## Contact information

- **Practice address:** 975 SERENO DRIVE HOSP BLDG, VALLEJO, CA 94589
- **Practice address phone:** (707) 651-2072
- **Practice address fax:** (707) 651-2073
- **Mailing address:** 1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | HSP40760 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 05/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0552643 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | PHB407600 | — | CA |