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KAISER PERMANENTE INTERNAL
NPI 1205872686
Pharmacy - Managed Care Organization Pharmacy in Tucker, GA

Active since June 22, 2006
200 CRES CTR PKWY, TUCKER, GA 30084(770) 496-3623(770) 496-3528 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaiser Permanente Internal NPPES

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

KAISER PERMANENTE INTERNAL (NPI 1205872686) is a healthcare organization registered as a managed care organization pharmacy in Tucker, Georgia and active in the NPI registry since June 2006. The organization lists Diane Sanders Harvey, Phcy Compliance Mgr Ga, as its authorized official.

NPPES Registry Identity

NPI1205872686
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER PERMANENTE INTERNAL
Location Address200 CRES CTR PKWYTucker, GA 30084-7047
Mailing Address200 Cres Ctr PkwyTucker, GA 30084-7047
Phone(770) 496-3623
Fax(770) 496-3528
Organization SubpartNo
Authorized OfficialDiane Sanders HarveyPhcy Compliance Mgr Ga · (404) 949-5336
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 19, 2007
✔ NPI 1205872686 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 · 07798
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
200 CRES CTR PKWY, Tucker, GA 30084
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Other Identifiers 2

Other1141023Other Id Number-commercial Number
Other1141023Other Id Number

Other Providers at the Same Location NPPES

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

KATRINA R BADER CNP
Nurse Practitioner
200 CRES CTR PKWY, DEPARTMENT OF RESEARCH
TUCKER, GA 30084
Dekalb County (770) 496-3770

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 Permanente Internal's NPI number?

The NPI number for Kaiser Permanente Internal is 1205872686. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Kaiser Permanente Internal located?

Kaiser Permanente Internal is located at 200 Cres Ctr Pkwy, Tucker, GA 30084. The listed phone number is (770) 496-3623.

What is Kaiser Permanente Internal'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 Permanente Internal was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.