KAISER FDN HSP OUT HSP PHY 111
NPI 1881742765
Pharmacy - Community/Retail Pharmacy in Oakland, CA

NPI Status: Active since January 08, 2007

Contact Information

280 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611
Phone: (510) 752-6471
Fax: (510) 752-5637

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About KAISER FDN HSP OUT HSP PHY 111

This page provides the complete NPI Profile along with additional information for Kaiser Fdn Hsp Out Hsp Phy 111, a provider established in Oakland, California operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1881742765 assigned on January 2007. The practitioner's primary taxonomy code is 3336C0003X with license number HSP21955 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Kaiser Fdn Hsp Out Hsp Phy 111. The authorized official of this NPI record is David Kvancz (Vp Nat'l Phrmcy Prog & Svcs)

NPI
1881742765
Provider Legal Name
KAISER FOUNDATION HOSPITALS
Other Organization Name
KAISER FDN HSP OUT HSP PHY 111
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
280 W MACARTHUR BLVD OAKLAND, CA 94611
Location Phone
(510) 752-6471
Location Fax
(510) 752-5637
Mailing Address
12254 BELLFLOWER BLVD FL 2 PHARMACY PROFESSIONAL AFFAIRS DOWNEY, CA 90242
Mailing Phone
(562) 658-3671
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2007
Last Update Date
05-05-2021
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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.
HSP21955
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)
13336I0012XSuppliers

Pharmacy
Institutional 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 NAT'L 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
0529149OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER
PHA219550MEDICAID (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.
1881742765
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281611444712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 1 + 4 + 4 + 4 + 7 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1881742765 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134113236MS. KATHLEEN ELIZABETH WESTON RN, FNP
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-6689
1376539148MS. JUDITH B. GOTTLIEB
Individual
Nurse Practitioner (Adult Health)280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-7667
1396723532MS. KAREN JENNIFER AHN M.S.
Individual
Genetic Counselor, MS280 W MACARTHUR BLVD GENETICS DEPARTMENT
OAKLAND, CA 94611
(510) 752-5408
1427168335MS. JANET M NILSEN RN, NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-6688
1972613404MS. LINDA MARGARET FRANZ RNNP, MSN
Individual
Nurse Practitioner (Obstetrics & Gynecology)280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-6837
1891893046DR. KAI-MAN LEE M.D.
Individual
Personal Emergency Response Attendant280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-7515
1548361926 ODILE LAMAR LELAND-ARIZMENDI M.D.
Individual
Emergency Medicine280 W MACARTHUR BLVD KAISER OAKLAND, EMERGENCY DEPARTMENT
OAKLAND, CA 94611
(510) 752-1666
1205920642 CHERYL ANN BROWN N.P.
Individual
Nurse Practitioner (Women's Health)280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-2179
1508951930MR. RYAN S ISHIMARU PHARM. D
Individual
Pharmacist280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-6468
1093800393DR. SHITAL PATEL KELSHIKAR PHARM.D.
Individual
Pharmacist280 W MACARTHUR BLVD INPATIENT PHARMACY DEPT, KAISER OAKLAND MEDICAL CENTER
OAKLAND, CA 94611
(510) 752-8118
1346335361DR. WAI HAN TONG PHARM.D.
Individual
Pharmacist280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-6537
1447347828DR. JOHN ERIK LYCKFORS I PHARMD D
Individual
Pharmacist280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-6957
1902994601DR. CATHERINE CHUI-KUEN TSE-HARRIS PHARM D
Individual
Pharmacist280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-6468
1376631127DR. PRITI A PATEL PHARM.D
Individual
Pharmacist280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-8118
1578651055 KRISTIN ELAN EDELMAN PHARMD
Individual
Pharmacist280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-6468
1568542405DR. MATTHEW BEJOSA FRANKEL M.D., M.B.A
Individual
Internal Medicine280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-4981
1326122920 HOMER CHI-HO KAN PHARM.D.
Individual
Pharmacist280 W MACARTHUR BLVD FABIOLA BLDG, RM G-84
OAKLAND, CA 94611
(510) 752-6299
1962586255 DIEN AI DU PHARM.D.
Individual
Pharmacist280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-7124
1013092683MRS. MICHELE NG PHARM.D.
Individual
Pharmacist280 W MACARTHUR BLVD
OAKLAND, CA 94611
(510) 752-6141
1497831598 MARSHA MA LO PHARMD.
Individual
Pharmacist280 W MACARTHUR BLVD
OAKLAND, CA 94611
(650) 752-6468

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881742765, enumerated in the NPI registry as an "organization" on January 08, 2007

The provider is located at 280 W Macarthur Blvd Oakland, Ca 94611 and the phone number is (510) 752-6471

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.