Kaiser Foundation Health Plan Inc
NPI 1720215916ActiveOrganization· Pharmacy, Compounding Pharmacy· Antioch, CA
Pharmacy, Compounding Pharmacy in Antioch, California, registered in NPPES in June 2009. The authorized official on file is Kathryn Renouard Brown, Vp Pharmacy Operations And Services.
Overview
| NPI | 1720215916 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2009 |
| Last updated in NPPES | Oct 20, 2020 |
| Certified by provider | Oct 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | PHY48612 | CA |
| Pharmacy | 333600000X | PHY48612 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|