Kaiser Foundation Health Plan Of Georgia, Inc., NPI 1861817017
Clinic Pharmacy in Jonesboro, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1861817017
NPI Entity Type Organization
Provider Name Kaiser Foundation Health Plan Of Georgia, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2400 Mount Zion Pkwy, Jonesboro, GA, US
Provider Mailing Address 2400 Mount Zion Pkwy, Jonesboro, GA, US, 302362500
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MS. Diane Sanders
Official Position PHARMACY COMPLIANCE MANAGER
Phone 770-712-5654

Primary Taxonomy

Taxonomy Code

3336C0002X

Taxonomy Name Clinic Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PHCL000025
License State GA
Description A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Other Organization Name

Kaiser Permanente Southwood Clinic Pharmacy
Doing Business As

Business Address

Kaiser Foundation Health Plan Of Georgia, Inc.
2400 Mount Zion Pkwy

Jonesboro, GA, US

Phone: 770-603-4242
Fax: 770-603-4243

Mailing Address

Kaiser Foundation Health Plan Of Georgia, Inc.
2400 Mount Zion Pkwy
Jonesboro, GA, US
ZIP 302362500
Phone: 770-603-4242
Fax: 770-603-4243

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

3336M0003X

Suppliers

Pharmacy

No

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
SOAP https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggateways Carequality HIE OTHER No 2400 Mount Zion Pkwy, Jonesboro, GA, US

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