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

Kaiser Foundation Health Plan of Georgia Inc

Organization Clinic Pharmacy · NPI 1417214925

Kaiser Foundation Health Plan of Georgia Inc is a Clinic Pharmacy in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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

750 Townpark Ln NW
Kennesaw, GA 30144-5579
Phone: (770) 514-5636
Fax: (770) 794-4009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence PHCL000017 (GA)

Record details

NPI number1417214925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (770) 712-5654
Other names Kaiser Permanente Townpark Clinic Pharmacy; Kaiser Permanente Townpark Clinic Pharmacy
NPI enumeratedApril 20, 2012
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address750 Townpark Ln Nw, Kennesaw, GA 30144-5579