KAISER HEALTH EUREKA 2ND FL PHARMACY 596
NPI 1053469866
Pharmacy - Community/Retail Pharmacy in Roseville, CA

Q: What is Kaiser Foundation Health Plan Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Inc is 1053469866. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Kaiser Health Eureka 2nd Fl Pharmacy 596.

Q: What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since January 08, 2007CLIA 05D0949913 · Microscopy

1600 EUREKA RD FL 2, ROSEVILLE, CA 95661(916) 784-5537(916) 784-5539 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Kaiser Health Eureka 2nd Fl Pharmacy 596 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER HEALTH EUREKA 2ND FL PHARMACY 596 (NPI 1053469866) is a healthcare organization registered as a community/retail pharmacy in Roseville, California and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through May 9, 2028 and lists David Kvancz, Vp Nat'l Phrmcy Prog & Svcds, as its authorized official.

NPPES Registry Identity

NPI1053469866

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKAISER FOUNDATION HEALTH PLAN INC

Location Address1600 EUREKA RD FL 2Roseville, CA 95661-3027

Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy Professional AffairsDowney, CA 90242-2804 · (562) 658-3671

Phone(916) 784-5537

Fax(916) 784-5539

Organization SubpartNo

Authorized OfficialDavid KvanczVp Nat'l Phrmcy Prog & Svcds · (562) 658-3510

Enumeration DateJanuary 8, 2007

Last NPPES UpdateApril 23, 2012

✔ NPI 1053469866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY40894

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1600 EUREKA RD FL 2, Roseville, CA 95661

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Other Names 1

Doing Business AsKaiser Health Eureka 2nd Fl Pharmacy 596

Other Identifiers 2

MedicaidPHA408940CA

Other0565400Ncpdp Provider Identification Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0949913

Kaiser Foundation Hospital-Roseville · Roseville, CA

Active · expires May 9, 2028

CLIA Number05D0949913

Laboratory TypeHospital

Certificate Effective DateMay 10, 2026

Certificate Expiration DateMay 9, 2028

Laboratory DirectorI-Ting T. Yu MD

Laboratory Phone(916) 784-4542

Laboratory LocationKaiser Foundation Hospital-Roseville1600 Eureka Road, Roseville, CA 95661

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Inc is 1053469866. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Kaiser Health Eureka 2nd Fl Pharmacy 596.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 1600 Eureka Rd Fl 2, Roseville, CA 95661. The listed phone number is (916) 784-5537.

What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kaiser Foundation Health Plan Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0949913) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Inc was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.