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Kaiser Foundation Health Plan Inc — NPI 1720215916, Antioch, CA | NPI Central

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NPI 1720215916

OrganizationActive

Kaiser Foundation Health Plan Inc

NPI 1720215916 · Compounding Pharmacy · Antioch, CA

Provider details

NPI number: 1720215916
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Organization subpart: No
Authorized official: Kathryn Brown, Vp Pharmacy Operations and Services(510) 625-2363
License: PHY48612 (CA)

Specialties & taxonomies

Compounding PharmacyPrimary3336C0004XLicense PHY48612 (CA)
Suppliers
Pharmacy333600000XLicense PHY48612 (CA)
Suppliers

Practice location

4501 Sand Creek Rd Fl 4

Antioch, CA 94531-8687

Phone: (925) 813-3958

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

1800 Harrison St Fl 13

Oakland, CA 94612-3466

Other names (DBA / former)

Doing business as: Kaiser Oncology Pharmacy #573
Doing business as: Kaiser Oncology Pharmacy #573

Registry dates

Enumerated: 2009-06-16
Last updated: 2020-10-20
Certified: 2020-10-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.