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KAISER PERMANENTE GLENLAKE CLINIC PHARMACY
NPI 1417343120
Pharmacy - Clinic Pharmacy in Atlanta, GA

Active since April 09, 2015
20 GLENLAKE PKWY, ATLANTA, GA 30328(770) 677-6321(770) 677-6320 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaiser Permanente Glenlake Clinic Pharmacy NPPES

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

KAISER PERMANENTE GLENLAKE CLINIC PHARMACY (NPI 1417343120) is a healthcare organization registered as a clinic pharmacy in Atlanta, Georgia and active in the NPI registry since April 2015. The organization lists Diane Sanders, Pharmacy Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1417343120
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Location Address20 GLENLAKE PKWYAtlanta, GA 30328-3473
Mailing Address20 Glenlake PkwyAtlanta, GA 30328-3473 · (770) 677-6321 · Fax (770) 677-6320
Phone(770) 677-6321
Fax(770) 677-6320
Organization SubpartNo
Authorized OfficialDiane SandersPharmacy Compliance Manager · (770) 712-5654
Enumeration DateApril 9, 2015
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1417343120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in GA · PHCL000028
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedPharmacyTaxonomy 333600000X
20 GLENLAKE PKWY, Atlanta, GA 30328
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Other Names 1

Doing Business AsKaiser Permanente Glenlake Clinic Pharmacy

Other Identifiers 1

Other2145689Pk

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 ›

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL DOUGLAS HELLSTROM MD
Otolaryngology
20 GLENLAKE PKWY, KAISER PERMANENTE MEDICAL GROUP GLENLAKE
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. ALAN MARC WEINBERG M.D.
Psychiatry & Neurology (Psychiatry)
20 GLENLAKE PKWY, DEPT OF BEHAVIORAL HEALTH
ATLANTA, GA 30328
Fulton County (404) 365-0966
MRS. EVA RIKER M.D.
Radiology (Diagnostic Radiology)
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 364-7243
DR. VARUN GUPTA MD
Plastic Surgery
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. KHALID A SHASH MD
Internal Medicine (Cardiovascular Disease)
20 GLENLAKE PKWY, KAISER PERMANETE GLENLAKE MEDICAL CENTER
ATLANTA, GA 30328
Fulton County (617) 629-6000
DR. LILLIAN KIM IVANSCO M.D., M.P.H.
Radiology (Diagnostic Radiology)
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 364-7285
SHAWNA LEE WATSON M.D.
Orthopaedic Surgery
20 GLENLAKE PKWY
SANDY SPRINGS, GA 30328
Fulton County (470) 698-6488
MRS. CHERYL SUE ARNSON MA
Audiologist
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER
ATLANTA, GA 30328
Fulton County (770) 667-6154

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 1417343120. It was assigned to this organization in the NPPES registry on April 9, 2015. The provider is doing business as Kaiser Permanente Glenlake Clinic Pharmacy.

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

Kaiser Foundation Health Plan Of Georgia, Inc. is located at 20 Glenlake Pkwy, Atlanta, GA 30328. The listed phone number is (770) 677-6321.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Kaiser Foundation Health Plan Of Georgia, Inc. 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 Health Plan Of Georgia, Inc. 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 Health Plan Of Georgia, Inc. was last updated on August 4, 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.