Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
KAISER PERMANENTE PHARMACY NO 101
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SVCS)
(510) 219-3954
Entity
Organization
Contact information
Practice address
2417 CENTRAL AVE, ALAMEDA, CA 94501-4515
(510) 752-9252
(510) 752-9065
Mailing address
2417 CENTRAL AVE, ALAMEDA, CA 94501-4515
(510) 752-9252
(510) 752-9065
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566616
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA456910
—
CA
Enumeration date
01/05/2007
Last updated
05/27/2025
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