OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1861919540 · Compounding Pharmacy · San Rafael, CA
Provider details
- NPI number
- 1861919540
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Parent organization
- Kaiser Foundation Health Plan Inc
- Organization subpart
- Yes
- Authorized official
- Kathryn Brown, Vp Pharmacy Operations & Svcs, Ncal(510) 625-2363
- License
- PHY55724 (CA)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 Las Gallinas Ave Fl 1
San Rafael, CA 94903-3410
Phone: (415) 446-2552
Street-level locationGet directions
Mailing address
1800 Harrison St Fl 13
Oakland, CA 94612-3466
Other names (DBA / former)
- Other name
- Kaiser Permanente Pharmacy #398
Registry dates
- Enumerated
- 2017-08-24
- Last updated
- 2020-11-24
- Certified
- 2020-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.