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 1740395631

Kaiser Foundation Health Plan of Georgia, Inc is a Pharmacy in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
3
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

4000 Dekalb Tec Pkwy Ste 320
Atlanta, GA 30340-2761
Phone: (770) 220-3787
Fax: (770) 220-3796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Managed Care Organization Pharmacy (primary) Taxonomy 3336M0003X · Licence PHRE008623 (GA)
Pharmacy Taxonomy 333600000X
Mail Order Pharmacy Taxonomy 3336M0002X

Record details

NPI number1740395631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Sanders — Phcy Compliance Mgr · (770) 712-5654
Other names Kaiser Permanente Refill Pharmacy; Kaiser Permanente Refill Pharmacy
NPI enumeratedAugust 20, 2006
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address4000 Dekalb Tec Pkwy, Ste 320, Atlanta, GA 30340-2761

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