National Provider Identifier Database

KAISER PERMANENTE
Managed Care Organization Pharmacy

A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO?s covered members only.


Contact Information

KAISER PERMANENTE
395 HICKEY BLVD
1ST FLOOR PHARMACY
DALY CITY, CA94015-2770
Phone: 650-301-5700
Fax: 650-301-5780
Website:
Specialty Taxonomy Code
* Managed Care Organization Pharmacy 3336M0003X

* Indicates primary specialty

NPI Profile & details for KAISER PERMANENTE

NPI Number 1730380452
Legal business name
LBN
KAISER PERMANENTE
Authorized official IRENE PHAN - (PHARMACY MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/30/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHA46565
  • CA Other: PHA465650 MEDI-CAL PROVIDER NUMBER

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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