Kaiser Foundation Health Plan of Georgia, Inc.
NPI 1174826754ActiveOrganization· Pharmacy· Conyers, GA
Pharmacy in Conyers, Georgia, registered in NPPES in December 2010. The authorized official on file is Diane Sanders, Pharmacy Compliance Manager.
Overview
| NPI | 1174826754 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2010 |
| Last updated in NPPES | Aug 4, 2021 |
| Certified by provider | Jul 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHRE009716 | GA |
| Pharmacy, Managed Care Organization Pharmacy | 3336M0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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