Kaiser Foundation Health Plan Inc
Organization Active NPI Compounding Pharmacy · San Rafael, CA
NPI 1093192577 · NPPES record last updated Jun 1, 2018
Key facts
- NPI
- 1093192577
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Compounding Pharmacy 3336C0004X
- License
- PHY52494 (CA)
- Legal business name
- KAISER FOUNDATION HEALTH PLAN INC
- Practice address
- 99 Montecillo Rd
BLDG 2 FL-5 RM 5254
San Rafael, CA 94903 - Phone
- (415) 444-2319
- NPI assigned
- May 4, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- KAISER FOUNDATION HEALTH PLAN INC
Authorized official
- Name
- William Perry Flowers
- Title
- VP Acute Transitional Care
- Phone
- (562) 658-3510
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Kaiser FDN HLTH Plan Phcy
- Part of
- Kaiser FDN HLTH Plan Phcy
Locations
99 Montecillo Rd
Bldg 2
San Rafael, CA 94903
Phone (415) 444-2319
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY52494 | CA | |
| Compounding Pharmacy | 3336C0004X | PHY52494 | CA | Yes |
Addresses
Primary practice location
99 Montecillo Rd
BLDG 2 FL-5 RM 5254
San Rafael, CA 94903
Mailing address
99 Montecillo Rd
BLDG 2 FL-5 RM 5254
San Rafael, CA 94903-3308
Other names
- Kaiser Permanente Pharmacy #397
Other providers in San Rafael, CA
- Cheryl Kahn
- Dana Denise Kahn
- Estelle C. Kahn
- Jane Frances Kahn
- William Joseph Kairy
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
All providers in San Rafael, CA · Compounding Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.