Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER PERMANENTE PHARMACY #215
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
975 SERENO DRIVE HOSP BLDG, VALLEJO, CA 94589
(707) 651-2071
(707) 651-2073
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5615274
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA470920
—
CA
Enumeration date
01/08/2007
Last updated
04/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us