Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
Kaiser Permanente Pharmacy #791
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Authorized official
KATHRYN BROWN (VP PHARMACY OPERATIONS & SVCS, NCAL)
(510) 625-2363
Entity
Organization
Contact information
Practice address
1721 TECHNOLOGY DR FL 1, SAN JOSE, CA 95110-1305
(408) 436-3335
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY56073
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY56073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5665887
NCPDP
CA
Enumeration date
02/21/2018
Last updated
11/27/2020
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