Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Foundation Health Plan Inc

Organization Pharmacy · NPI 1104060383

Kaiser Foundation Health Plan Inc is a Pharmacy in Oakland, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3701 Broadway Fl 4
Oakland, CA 94611-5613
Phone: (562) 658-3671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY49884 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1104060383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Kvancz — Nat'L Vp Phrmcy Prog & Svcs · (562) 658-3510
Other names Kaiser Permanente Pharmacy #103
NPI enumeratedMay 1, 2009
Last updated in NPPESJanuary 25, 2011
Mailing address12254 Bellflower Blvd, Pharm Professional Affairs Floor 2, Oakland, CA 94611

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