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KAISER PERMANENTE WEST MARIETTA
NPI 1063733210
Pharmacy - Managed Care Organization Pharmacy in Marietta, GA

Active since June 22, 2010
2505 DALLAS HWY SW, MARIETTA, GA 30064(770) 792-2010(770) 792-2003 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaiser Permanente West Marietta NPPES

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

KAISER PERMANENTE WEST MARIETTA (NPI 1063733210) is a healthcare organization registered as a managed care organization pharmacy in Marietta, Georgia and active in the NPI registry since June 2010. The organization lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1063733210
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address2505 DALLAS HWY SWMarietta, GA 30064-2659
Mailing Address3495 Piedmont Rd NeAtlanta, GA 30305-1717 · (404) 364-4824 · Fax (404) 949-5242
Phone(770) 792-2010
Fax(770) 792-2003
Organization SubpartNo
Authorized OfficialDiane SandersPharmacy Compliance Manager · (404) 949-5336
Enumeration DateJune 22, 2010
Last NPPES UpdateJuly 10, 2015
✔ NPI 1063733210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers
Taxonomy Code3336M0003X
License✔ Licensed in GA · PHRE009685
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
2505 DALLAS HWY SW, Marietta, GA 30064
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Other Names 1

Doing Business AsKaiser Permanente West Marietta

Other Identifiers 1

Other2125368Pk

Other Providers at the Same Location NPPES 2

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

WELLSTREET OF GEORGIA PC
Non-Pharmacy Dispensing Site
2505 DALLAS HWY SW
MARIETTA, GA 30064
Cobb County (678) 956-6230
SARA WORKU
Physician Assistant
2505 DALLAS HWY SW
MARIETTA, GA 30064
Cobb County (678) 956-6230

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 Of Georgia, Inc.'s NPI number?

The NPI number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1063733210. It was assigned to this organization in the NPPES registry on June 22, 2010. The provider is doing business as Kaiser Permanente West Marietta.

Where is Kaiser Foundation Health Plan Of Georgia, Inc. located?

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 2505 Dallas Hwy SW, Marietta, GA 30064. The listed phone number is (770) 792-2010.

What is Kaiser Foundation Health Plan Of Georgia, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Managed Care Organization Pharmacy, with taxonomy code 3336M0003X.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of Georgia, Inc. was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.