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

Kaiser Foundation Health Plan of Georgia, Inc

Organization Pharmacy · NPI 1417343120

Kaiser Foundation Health Plan of Georgia, Inc is a Pharmacy in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
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

20 Glenlake Pkwy
Atlanta, GA 30328-3473
Phone: (770) 677-6321
Fax: (770) 677-6320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence PHCL000028 (GA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1417343120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Pharmacy Compliance Manager · (770) 712-5654
Other names Kaiser Permanente Glenlake Clinic Pharmacy; Kaiser Permanente Glenlake Clinic Pharmacy
NPI enumeratedApril 9, 2015
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address20 Glenlake Pkwy, Atlanta, GA 30328-3473

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