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KAISER PERMANENTE PHARMACY #215
NPI 1053469890
Pharmacy - Community/Retail Pharmacy in Vallejo, CA

Active since January 08, 2007CLIA 05D0685875 · Accreditation
975 SERENO DRIVE HOSP BLDG, VALLEJO, CA 94589(707) 651-2071(707) 651-2073 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 20, 2021, Oct 22, 2020 (2 updates tracked since 2020).

About Kaiser Permanente Pharmacy #215 NPPES

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

KAISER PERMANENTE PHARMACY #215 (NPI 1053469890) is a healthcare organization registered as a community/retail pharmacy in Vallejo, California and active in the NPI registry since January 2007. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Kathryn Renouard Brown, Vp Pharmacy Operations And Services, as its authorized official.

NPPES Registry Identity

NPI1053469890
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HOSPITALS
Location Address975 SERENO DRIVE HOSP BLDGVallejo, CA 94589
Mailing Address1800 Harrison St Fl 13Oakland, CA 94612-3466
Phone(707) 651-2071
Fax(707) 651-2073
Organization SubpartNo
Authorized OfficialKathryn Renouard BrownVp Pharmacy Operations And Services · (510) 625-2363
Enumeration DateJanuary 8, 2007
Last NPPES UpdateApril 20, 20212 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1053469890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY47092
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.
Also ListedPharmacyTaxonomy 333600000X
975 SERENO DRIVE HOSP BLDG, Vallejo, CA 94589
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Other Names 1

Doing Business AsKaiser Permanente Pharmacy #215

Other Identifiers 2

MedicaidPHA470920CA
Other5615274Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 of Accreditation 05D0685875

Kaiser Foundation Hospital Vallejo Laboratory · Vallejo, CA
Active · expires Feb 27, 2027
CLIA Number05D0685875
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Shuting Bai
Laboratory Phone(707) 651-3826
Laboratory LocationKaiser Foundation Hospital Vallejo Laboratory975 Sereno Dr, Vallejo, CA 94589
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAISER FOUNDATION HOSPITALS
Pharmacy (Institutional Pharmacy)
975 SERENO DRIVE HOSP BLDG
VALLEJO, CA 94589
Napa County (707) 651-2072

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 Hospitals's NPI number?

The NPI number for Kaiser Foundation Hospitals is 1053469890. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Kaiser Permanente Pharmacy #215.

Where is Kaiser Foundation Hospitals located?

Kaiser Foundation Hospitals is located at 975 Sereno Drive Hosp Bldg, Vallejo, CA 94589. The listed phone number is (707) 651-2071.

What is Kaiser Foundation Hospitals's specialty?

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

Does Kaiser Foundation Hospitals hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0685875) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kaiser Foundation Hospitals accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 23 other insurers list Kaiser Foundation Hospitals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Hospitals was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.