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KAISER ONCOLOGY PHARMACY #573
NPI 1720215916
Pharmacy - Compounding Pharmacy in Antioch, CA

Active since June 16, 2009
4501 SAND CREEK RD FL 4, ANTIOCH, CA 94531(925) 813-3958 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaiser Oncology Pharmacy #573 NPPES

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

KAISER ONCOLOGY PHARMACY #573 (NPI 1720215916) is a healthcare organization registered as a compounding pharmacy in Antioch, California and active in the NPI registry since June 2009. The organization lists Kathryn Renouard Brown, Vp Pharmacy Operations And Services, as its authorized official.

NPPES Registry Identity

NPI1720215916
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address4501 SAND CREEK RD FL 4Antioch, CA 94531-8687
Mailing Address1800 Harrison St Fl 13Oakland, CA 94612-3466 · (925) 813-3958
Phone(925) 813-3958
Organization SubpartNo
Authorized OfficialKathryn Renouard BrownVp Pharmacy Operations And Services · (510) 625-2363
Enumeration DateJune 16, 2009
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1720215916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in CA · PHY48612
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X · License PHY48612 (CA)
4501 SAND CREEK RD FL 4, Antioch, CA 94531
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Other Names 1

Doing Business AsKaiser Oncology Pharmacy #573

Other Providers at the Same Location NPPES

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

DR. LAUREN NG M.D.
Internal Medicine (Nephrology)
4501 SAND CREEK RD FL 4
ANTIOCH, CA 94531
Contra Costa County (925) 813-3166

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 1720215916. It was assigned to this organization in the NPPES registry on June 16, 2009. The provider is doing business as Kaiser Oncology Pharmacy #573.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 4501 Sand Creek Rd Fl 4, Antioch, CA 94531. The listed phone number is (925) 813-3958.

What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Inc was last updated on October 20, 2020. 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.