NPIMap

Kaiser Foundation Hospitals

Organization Active NPI Community/Retail Pharmacy · Walnut Creek, CA

NPI 1003964800 · NPPES record last updated Apr 20, 2021

Key facts

NPI
1003964800
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PHY45465 (CA)
Legal business name
KAISER FOUNDATION HOSPITALS
Practice address
1425 S Main St FL 1
Walnut Creek, CA 94596-5318
Phone
(925) 295-6415
Fax
(925) 295-6398
NPI assigned
Jan 8, 2007
Organization subpart
No

Authorized official

Name
Kathryn Renouard Brown
Title
VP Pharmacy Operations and Services
Phone
(510) 625-2363

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Kaiser Foundation (185 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY45465 CA Yes

Addresses

Primary practice location

1425 S Main St FL 1
Walnut Creek, CA 94596-5318

Mailing address

1800 Harrison St FL 13
Oakland, CA 94612-3466

Other identifiers

IdentifierTypeStateIssuer
0562365OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA454650MedicaidCA

Other names

  • KAISER PERMANENTE PHARMACY NO 515 Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondingg Health Information Exchange (HIE)

Other providers in Walnut Creek, CA

All providers in Walnut Creek, CA · Community/Retail Pharmacy in California

Sources for this page

Verify at the official NPI Registry.