KAISER FOUNDATION HEALTH PLAN INC
NPI 1972173433
Pharmacy - Compounding Pharmacy in Fremont, CA

NPI Status: Active since June 28, 2021

Contact Information

39400 PASEO PADRE PARKWAY
FL 2, RM 7210
FREMONT, CA
ZIP 94538
Phone: (510) 248-3385

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  • Organization
  • Pharmacy
  • Compounding Pharmacy
  • CLIA Number: 05D0673159
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-07-2026

About KAISER FOUNDATION HEALTH PLAN INC

This page provides the complete NPI Profile along with additional information for Kaiser Foundation Health Plan Inc, a provider established in Fremont, California operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1972173433 assigned on June 2021. The practitioner's primary taxonomy code is 3336C0004X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Kathryn Renouard Brown (Vp, Pharmacy Operations & Services)

NPI
1972173433
Provider Name
KAISER FOUNDATION HEALTH PLAN INC
Entity Type
Organization
Location Address
39400 PASEO PADRE PARKWAY FL 2, RM 7210 FREMONT, CA 94538
Location Phone
(510) 248-3385
Mailing Address
1800 HARRISON ST FL 13 OAKLAND, CA 94612
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2021
Last Update Date
06-28-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHRYN RENOUARD BROWN

Authorized Official Title
VP, PHARMACY OPERATIONS & SERVICES
Authorized Official Phone
(510) 219-3954

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0673159
Facility Type
Hospital
Certificate Effective Date
August 08, 2024
Certificate Expiration Date
August 07, 2026
Laboratory Director
DR. JEFFREY G. MOORE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kaiser Foundation Health Plan Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972173433, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 2 + 7 + 6 + 4 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1972173433.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
39400 PASEO PADRE PARKWAY
FREMONT, CA 94538
Internal Medicine (Gastroenterology)
39400 PASEO PADRE PARKWAY, KP FREMONT MEDICAL CENTER
FREMONT, CA 94538
Pharmacist
39400 PASEO PADRE PARKWAY, 3RD FLOOR NILES PHARAMCY
FREMONT, CA 94538
Internal Medicine
39400 PASEO PADRE PARKWAY
FREMONT, CA 94538
Pharmacist
39400 PASEO PADRE PARKWAY, KAISER PERMANENTE PHARMACY #161
FREMONT, CA 94538
Optometrist
39400 PASEO PADRE PARKWAY
FREMONT, CA 94538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972173433, enumerated as an "organization" on June 28, 2021.

The provider is located at 39400 PASEO PADRE PARKWAY FL 2, RM 7210 FREMONT, CA 94538 and the phone number is (510) 248-3385.

Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.