Kaiser Permanente Decatur Pharmacy

LBN: Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Permanente Decatur Pharmacy is an health care organization with primary practice located at 201 W Ponce De Leon Ave , Decatur GA 30030-3217. The organization recently has only one registered license in Suppliers / Managed Care Organization Pharmacy, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Of Georgia, Inc. can be contacted via phone (404) 687-7680, or through Sanders, Diane via phone (404) 949-5336.

Contact Information

Primary practice address
201 W Ponce De Leon Ave Decatur GA 30030-3217
Phone: (404) 687-7680
Fax: (404) 687-7730
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Diane
Phone: (404) 949-5336

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Managed Care Organization Pharmacy 3336M0003X PHRE009629 Georgia

Profile Details

NPI number 1699003681
LBN Legal business name Kaiser Foundation Health Plan Of Georgia, Inc.
DBA Doing business as Kaiser Permanente Decatur Pharmacy
Authorized official Sanders, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2009
Last updated Aug 4th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699003681 NPPES
Other 1159335 NCPDP PROVIDER IDENTIFICATION NUMBER

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