Kaiser Health Plan Manteca Phy No 491 is not a DME supplier for medicare equipments and products.
Kaiser Health Plan Manteca Phy No 491 is a Community/Retail Pharmacy in Manteca, California. This pharmacy is owned and operated by Kaiser Foundation Health Plan Inc. It is located at 1721 W Yosemite Ave, Manteca and it's customer support contact number is 209-824-5078. The authorized person of Kaiser Health Plan Manteca Phy No 491 is Kathryn Renouard Brown who is Vp Pharmacy Operations And Services of the pharmacy and his contact number is 510-625-2363. Active license number of Kaiser Health Plan Manteca Phy No 491 is PHY43518 for Community/Retail Pharmacy in California. Kaiser Health Plan Manteca Phy No 491 is 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.
Pharmacy Details:
Kaiser Health Plan Manteca Phy No 491 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Kaiser Health Plan Manteca Phy No 491
Type:
Community/Retail Pharmacy
Location:
1721 W Yosemite Ave, Manteca, California, 95337-5130
Phone:
209-824-5078
Fax:
209-824-5075
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kathryn Renouard Brown
Position:
Vp Pharmacy Operations And Services
Contact Number:
510-625-2363
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1649327958
NPI Enumeration Date:
05 Jan, 2007
NPI Last Update On:
19 Oct, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kaiser Health Plan Manteca Phy No 491 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHY43518
California
Primary
Clinic Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PHA435180
Medicaid
California
0500353
Other
Ncpdp Provider Identification Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1800 Harrison St Fl 13, Oakland, California
Zip:
94612-3466
Phone Number:
--
Fax Number:
--
Patients can reach Kaiser Health Plan Manteca Phy No 491 at 1721 W Yosemite Ave, Manteca, California or can call on customer care at 209-824-5078.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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