Kaiser Permanente Decatur Pharmacy is not a DME supplier for medicare equipments and products.
Kaiser Permanente Decatur Pharmacy is a Managed Care Organization Pharmacy in Decatur, Georgia. This pharmacy is owned and operated by Kaiser Foundation Health Plan Of Georgia, Inc.. It is located at 201 W Ponce De Leon Ave, Decatur and it's customer support contact number is 404-687-7680. The authorized person of Kaiser Permanente Decatur Pharmacy is Diane Sanders who is Pharmacy Compliance Manager of the pharmacy and his contact number is 404-949-5336. Active license number of Kaiser Permanente Decatur Pharmacy is PHRE009629 for Managed Care Organization Pharmacy in Georgia. Kaiser Permanente Decatur Pharmacy is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
Pharmacy Details:
Kaiser Permanente Decatur Pharmacy 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 Permanente Decatur Pharmacy
Type:
Managed Care Organization Pharmacy
Location:
201 W Ponce De Leon Ave, Decatur, Georgia, 30030-3217
Phone:
404-687-7680
Fax:
404-687-7730
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:
Diane Sanders
Position:
Pharmacy Compliance Manager
Contact Number:
404-949-5336
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:
1699003681
NPI Enumeration Date:
02 Dec, 2009
NPI Last Update On:
04 Aug, 2021
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 Permanente Decatur Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Managed Care Organization Pharmacy
PHRE009629
Georgia
Primary
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
1159335
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:
201 W Ponce De Leon Ave, Decatur, Georgia
Zip:
30030-3217
Phone Number:
404-687-7680
Fax Number:
404-687-7730
Patients can reach Kaiser Permanente Decatur Pharmacy at 201 W Ponce De Leon Ave, Decatur, Georgia or can call on customer care at 404-687-7680.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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