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KAISER PERMANENTE PHARMACY #102
NPI 1770723645
Pharmacy - Community/Retail Pharmacy in Oakland, CA

Active since March 04, 2009
3701 BROADWAY FL 1, OAKLAND, CA 94611(510) 752-4188 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaiser Permanente Pharmacy #102 NPPES

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

KAISER PERMANENTE PHARMACY #102 (NPI 1770723645) is a healthcare organization registered as a community/retail pharmacy in Oakland, California and active in the NPI registry since March 2009. The organization lists Kathryn Renouard Brown, Vp Pharmacy Operations And Services, as its authorized official.

NPPES Registry Identity

NPI1770723645
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address3701 BROADWAY FL 1Oakland, CA 94611-5613
Mailing Address1800 Harrison St Fl 13Oakland, CA 94612-3466 · (510) 752-4188
Phone(510) 752-4188
Organization SubpartNo
Authorized OfficialKathryn Renouard BrownVp Pharmacy Operations And Services · (510) 625-2363
Enumeration DateMarch 4, 2009
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1770723645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY 49853
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.
Also ListedPharmacyTaxonomy 333600000X
3701 BROADWAY FL 1, Oakland, CA 94611
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Other Names 1

Doing Business AsKaiser Permanente Pharmacy #102

Other Identifiers 2

Medicaid1770723645CA
Other5633979Ncpdp Provider Identification Number

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 4

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

DR. KYLE J MENZE D.O.
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Alameda County (510) 821-1118
CHRISTI FONTAIN ASHLEY NG MD
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Alameda County (510) 752-4138
DR. JESSICA HWEI-JAY FAN MD
Psychiatry & Neurology (Neurology)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Alameda County (510) 752-6509
DR. LYNN ZHANG M.D.
Psychiatry & Neurology (Neurology)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Alameda County (510) 752-6509

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 1770723645. It was assigned to this organization in the NPPES registry on March 4, 2009. The provider is doing business as Kaiser Permanente Pharmacy #102.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 3701 Broadway Fl 1, Oakland, CA 94611. The listed phone number is (510) 752-4188.

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.

What insurance does Kaiser Foundation Health Plan 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 24 other insurers list Kaiser Foundation Health Plan 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 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.