KAISER FOUNDATION HEALTH PLAN INC (NPI# 1255488581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255488581 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #291 |
| Practice Address |
2071 Herndon Ave Clovis CA 93611-6101 |
| Mailing Address |
1800 Harrison St Fl 13 Oakland CA 94612-3466 |
| Practice Telephone | 5593245011 |
| Practice Fax Number | 5593245013 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES) |
| Authorized Official Telephone | 5106252363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46452 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5600487 | 01 | |
| CA | PHA464520 | 05 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY #291 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| 1942820485 | Kaiser Foundation Health Plan Inc | Pharmacy | 5300 Mcconnell Ave Fl 1, Rm 1150, Los Angeles, CA 90066-7026 | 2020-04-24 |
| 1720607112 | Kaiser Foundation Health Plan Inc | Pharmacy | 6911 Convoy Ct Fl 1 Rm 1501, San Diego, CA 92111-1014 | 2020-04-15 |
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1437618105 | Kaiser Foundation Health Plan Inc | Pharmacy | 12761 Schabarum Ave Plaza Level Rm 1100, Irwindale, CA 91706-6807 | 2019-03-13 |
| 1336607506 | Kaiser Foundation Health Plan Inc | Pharmacy | 3100 Dublin Blvd Fl 1, Dublin, CA 94568-4363 | 2019-03-06 |
| 1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | KAISER FOUNDATION HEALTH PLAN INC. | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Street Address |
2071 HERNDON AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701250 | Vinaya Murthy | Genetic Counselor, MS | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2005-12-21 |
| 1881125193 | Tram Nguyen | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-27 |
| 1730610643 | Woon Inouye | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-22 |
| 1457882409 | Debbie Flint | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-22 |
| 1275064339 | Diana Blumberg | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-21 |
| 1538617170 | Rachel Graziani | Genetic Counselor, MS | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2016-09-12 |
| 1134421704 | Kelly Ayala | Obstetrics & Gynecology | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2010-12-02 |
| 1407035108 | Jennifer Irene Bague | Social Worker | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2007-10-30 |
| 1194920413 | James Dale Massa Jr. | Genetic Counselor, MS | 2071 Herndon Ave, Attn Genetics Dpt, Clovis, CA 93611-6101 | 2007-06-18 |
| 1710014378 | Judith Lynn Meadows | Dietitian, Registered | 2071 Herndon Ave, Clovis, CA 93611 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942615570 | Presbyterian Healthcare Services | Pharmacy | 2401 W. 21st St, Clovis, NM 88101 | 2014-06-23 |
| 1255687489 | Rxadvisors, Inc. | Pharmacy | 2101 Herndon Ave, Clovis, CA 93611-6300 | 2012-07-25 |
| 1609058064 | Foreno Inc | Pharmacy | 195 W Shaw Ave, #101a, Clovis, CA 93612-3700 | 2007-11-28 |
| 1821277344 | Longs Drug Stores California, LLC | Pharmacy | 1794 Ashlan Ave, Clovis, CA 93611 | 2007-11-01 |
| 1043341951 | Gibson Family Pharmacy PC | Pharmacy | 1801 W 21st St Ste B, Clovis, NM 88101-4023 | 2007-03-09 |
| 1982716809 | Medicine Shoppe | Pharmacy | 300 W Shaw Ave Ste 114, Clovis, CA 93612-3680 | 2006-08-31 |
| 1477597813 | Longs Drug Stores California LLC | Pharmacy | 1107 N Willow Ave, Clovis, CA 93611-4408 | 2006-06-16 |
| 1568406395 | Longs Drug Stores California LLC | Pharmacy | 10 Shaw Ave, Clovis, CA 93612-3802 | 2006-06-15 |
| 1780663997 | Save Mart Supermarkets | Pharmacy | 1835 Herndon Ave, Clovis, CA 93611-6109 | 2006-01-16 |
| 1235692864 | Script Pharmacy | Pharmacy | 255 W Herndon Ave Ste 101, Clovis, CA 93612-0381 | 2019-04-10 |
| Find all providers in CLOVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.