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KAISER PERMANENTE PHARMACY #452
NPI 1073661815
Pharmacy - Community/Retail Pharmacy in Campbell, CA

Active since January 08, 2007
200 E HACIENDA AVE, CAMPBELL, CA 95008(408) 871-5860(408) 871-5865 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaiser Permanente Pharmacy #452 NPPES

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

KAISER PERMANENTE PHARMACY #452 (NPI 1073661815) is a healthcare organization registered as a community/retail pharmacy in Campbell, California and active in the NPI registry since January 2007. The organization lists David Kvancz, Vp Nat'l Pharmacy Prog & Svcs, as its authorized official.

NPPES Registry Identity

NPI1073661815
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address200 E HACIENDA AVECampbell, CA 95008-6617
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy Professional AffairsDowney, CA 90242-2804
Phone(408) 871-5860
Fax(408) 871-5865
Organization SubpartNo
Authorized OfficialDavid KvanczVp Nat'l Pharmacy Prog & Svcs · (562) 658-3510
Enumeration DateJanuary 8, 2007
Last NPPES UpdateApril 23, 2012
✔ NPI 1073661815 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 · PHY46383
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.
200 E HACIENDA AVE, Campbell, CA 95008
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Other Names 1

Doing Business AsKaiser Permanente Pharmacy #452

Other Identifiers 2

MedicaidPHA463830CA
Other5600615Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 5

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

DR. JENNIFER ANN LANCASTER D.O.
Psychiatry & Neurology (Psychiatry)
200 E HACIENDA AVE, KAISER PSYCHIATRY DEPARTMENT
CAMPBELL, CA 95008
Santa Clara County (408) 871-5800
BOB HAN
Psychiatry & Neurology (Psychiatry)
200 E HACIENDA AVE
CAMPBELL, CA 95008
Santa Clara County (408) 871-6500
DR. PUNIT MAHENDRU PH.D.
Psychologist
200 E HACIENDA AVE
CAMPBELL, CA 95008
Santa Clara County (408) 871-5815
BRENDA AGUILAR MANDAC LCSW
Social Worker (Clinical)
200 E HACIENDA AVE
CAMPBELL, CA 95008
Santa Clara County (408) 871-5800
CATHERINE ELIZABETH CHERNY ASW
Social Worker (Clinical)
200 E HACIENDA AVE
CAMPBELL, CA 95008
Santa Clara County (408) 871-5853

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 1073661815. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Kaiser Permanente Pharmacy #452.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 200 E Hacienda Ave, Campbell, CA 95008. The listed phone number is (408) 871-5860.

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.

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.