Kaiser Permanente

Primary specialty

PharmacistTaxonomy code 183500000X

License

55638 Issued in CA

Legal business name

KAISER PERMANENTE

Practice address

901 Nevin Ave
Richmond, CA 94801-3143

Phone

(510) 307-2445

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian So

Title

Pharmacist

Phone

(510) 307-2445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316048440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 CARLOTTA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NEVIN AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948013143",
            "telephone_number": "510-307-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "510-307-2445"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Skyview Pharmacy 124)
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Mob 1 Phy)
• Kaiser Foundation Hospitals (Kaiser Outpatient Hospital Pharmacy 123)
• Kaiser Foundation Hospitals (Kaiser FDN HSP Inp Phy 12a)
• Kaiser Permanente
• Kaiser Permanente
• Susan N Kalaei, PHARM D
• Barry Kamil, PH.D.
• Marlen Kanagui-Munoz, PHD
• Jennifer Denise Kantor

• Pharmacist in Richmond, CA
• Providers in Richmond, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.