| NPI | 1366622912 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-11-13 |
| Last Updated | 2021-08-04 |
| Authorized Official | Diane Sanders Pharmacy Compliance manager Phone: 7707125654 |
| Mailing Address | 8011 Mall Pkwy Lithonia, GA 30038-2543 United States Phone: (678) 323-7580 | Fax: (404) 949-5242 📍 View Map |
| Primary Practice Address | 8011 Mall Pkwy Lithonia, GA 30038-2543 United States Phone: (678) 323-7580 | Fax: (404) 949-5242 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 1156531 | NCPDP Provider Identification Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336M0003X – Pharmacy, Managed Care Organization Pharmacy | GA | PHRE009408 |
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About NPI 1366622912
Kaiser Foundation Health Plan Of Georgia, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1366622912. The primary specialty listed is Pharmacy, Managed Care Organization Pharmacy. The organization is located in Lithonia, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-11-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366622912?
NPI 1366622912 belongs to Kaiser Foundation Health Plan Of Georgia, Inc., a Pharmacy, Managed Care Organization Pharmacy in Lithonia, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366622912 active?
The current status of NPI 1366622912 in the NPPES registry is Active. The record was last updated on 2021-08-04.
What specialty is NPI 1366622912?
NPI 1366622912 is classified under the taxonomy Pharmacy, Managed Care Organization Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366622912?
You can verify NPI 1366622912 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366622912?
The primary practice address on file for NPI 1366622912 is 8011 Mall Pkwy, Lithonia, GA 30038-2543. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366622912 issued?
NPI 1366622912 was first issued (enumerated) on 2007-11-13. The NPPES record was last updated on 2021-08-04.
Practice Location Map
Kaiser Foundation Health Plan Of Georgia, Inc. is located at 8011 Mall Pkwy, Lithonia, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kaiser Foundation Health Plan Of Georgia, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1366622912. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Managed Care Organization Pharmacy | PHRE009408 | GA |