KAISER HEALTH PLAN C PHY 712
NPI 1427106228
Pharmacy - Community/Retail Pharmacy in Rancho Cordova, CA

NPI Status: Active since January 08, 2007

Contact Information

10725 INTERNATIONAL DR FL 2
RANCHO CORDOVA, CA
ZIP 95670
Phone: (916) 631-2309
Fax: (916) 631-2316

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About KAISER HEALTH PLAN C PHY 712

This page provides the complete NPI Profile along with additional information for Kaiser Health Plan C Phy 712, a provider established in Rancho Cordova, California operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1427106228 assigned on January 2007. The practitioner's primary taxonomy code is 3336C0003X with license number PHY37229 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Kaiser Health Plan C Phy 712. The authorized official of this NPI record is David Kvancz (Vp Natl Phrmcy Prog & Svcs)

NPI
1427106228
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN INC
Other Organization Name
KAISER HEALTH PLAN C PHY 712
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10725 INTERNATIONAL DR FL 2 RANCHO CORDOVA, CA 95670
Location Phone
(916) 631-2309
Location Fax
(916) 631-2316
Mailing Address
12254 BELLFLOWER BLVD FL 2 ATTN: TERESA RIVERA DOWNEY, CA 90242
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2007
Last Update Date
12-22-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
PHY37229
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0002XSuppliers

Pharmacy
Clinic Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID KVANCZ

Authorized Official Title
VP NATL PHRMCY PROG & SVCS
Authorized Official Phone
(562) 658-3510

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0565246OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER
PHB372290MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427106228
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447201224
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 0 + 1 + 2 + 2 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1427106228 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427106228, enumerated in the NPI registry as an "organization" on January 08, 2007

The provider is located at 10725 International Dr Fl 2 Rancho Cordova, Ca 95670 and the phone number is (916) 631-2309

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.