NPIMap

Organization Active NPI

Kaiser Foundation Health Plan Inc

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1154479962
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44851 Issued in CA
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Practice address
2200 Ofarrell St
1St Floor
San Francisco, CA 94115
Phone
(415) 833-4942
Fax
(415) 833-4648
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Perry Flowers
Title
VP Acute Transitional Care
Phone
(562) 658-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY44851 CA Primary

Addresses

Primary practice location

2200 Ofarrell St
1St Floor
San Francisco, CA 94115

Mailing address

2200 Ofarrell St
1St Floor
San Francisco, CA 94115-3357
Phone (415) 833-4942

Other identifiers 2

IdentifierTypeStateIssuer
PHA448510MedicaidCA
0566250OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KAISER PEDIATRIC PHARMACY #311 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kaiser FDN HLTH Plan Phcy379 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2200 Ofarrell St
Fl 1
San Francisco, CA 94115
Phone (415) 833-4942

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1154479962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OFARRELL ST",
            "address_2": "1ST FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153357",
            "telephone_number": "415-833-4942",
            "fax_number": "415-833-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OFARRELL ST",
            "address_2": "1ST FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-833-4942",
            "fax_number": "415-833-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "VP ACUTE TRANSITIONAL CARE",
        "authorized_official_telephone_number": "562-658-3510"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA448510",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0566250",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAISER PEDIATRIC PHARMACY #311",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KAISER PEDIATRIC PHARMACY #311",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.