Active NPI
Kaiser Foundation Hospitals
- Institutional Pharmacy
- Roseville, CA
National Provider Identifier
1790832012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- HSP43680
- Legal business name
- KAISER FOUNDATION HOSPITALS
- Practice address
- 1600 Eureka Rd
Roseville, CA 95661-3027 - Phone
- (916) 784-5383
- Fax
- (916) 784-5000
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Renouard Brown
- Title
- VP Pharmacy Operations and Services
- Phone
- (510) 625-2363
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Institutional Pharmacy | 3336I0012X | HSP43680 | CA | Primary |
Addresses
Primary practice location
1600 Eureka Rd
Roseville, CA 95661-3027
Mailing address
1800 Harrison St FL 13
Oakland, CA 94612-3466
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0511801 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| PHB436800 | Medicaid | CA |
Other names 1
- KAISER HOSPITAL PHARMACY #59A
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondingg | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Kaiser Foundation
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.
-
- Community Based Hospice Care Agency
- Corona, CA
- NPI 1720229602
-
- Community/Retail Pharmacy
- Bellflower, CA
- NPI 1730237538
-
- Home Infusion Therapy Pharmacy
- San Francisco, CA
- NPI 1730237561
-
- Institutional Pharmacy
- Santa Clara, CA
- NPI 1730246091
-
- Institutional Pharmacy
- Rancho Cordova, CA
- NPI 1730338765
-
- Institutional Pharmacy
- Gardena, CA
- NPI 1740822766
-
- Institutional Pharmacy
- Hayward, CA
- NPI 1760549026
-
- Institutional Pharmacy
- Dublin, CA
- NPI 1770045395
-
- Community/Retail Pharmacy
- Santa Clara, CA
- NPI 1770631558
-
- Institutional Pharmacy
- Santa Rosa, CA
- NPI 1780732503
-
- Institutional Pharmacy
- San Diego, CA
- NPI 1780732511
-
- Compounding Pharmacy
- Ontario, CA
- NPI 1790832020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620172800000",
"number": "1790832012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HARRISON ST FL 13",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 EUREKA RD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613027",
"telephone_number": "916-784-5383",
"fax_number": "916-784-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER FOUNDATION HOSPITALS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "RENOUARD",
"authorized_official_title_or_position": "VP PHARMACY OPERATIONS AND SERVICES",
"authorized_official_telephone_number": "510-625-2363"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "CA",
"license": "HSP43680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0511801",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHB436800",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondingg",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1600 Eureka Rd",
"city": "Roseville",
"state": "CA",
"country_code": "US",
"postal_code": "956613027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "KAISER HOSPITAL PHARMACY #59A",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KAISER HOSPITAL PHARMACY #59A",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.