National Provider Identifier Database

KAISER FOUNDATION HEALTH PLAN INC
Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.


Contact Information

KAISER FOUNDATION HEALTH PLAN INC
99 MONTECILLO RD
BLDG 2 FL-5 RM 5254
SAN RAFAEL, CA94903
Phone: 415-444-2319
Fax:
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN INC

NPI Number 1093192577
Legal business name
LBN
KAISER FOUNDATION HEALTH PLAN INC
Authorized official WILLIAM FLOWERS - (VP ACUTE TRANSITIONAL CARE)
Entity Organization
Organization subpart Yes
Enumeration date 05/04/2015
Last updated 06/01/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY52494

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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