NPI age
19 years
Enumerated 2006-06-13
● Active Type 2 · Organization
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc. is 1 of 37 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sanders
Phcy Compliance Mgr
Last NPPES update
2021-08-04
Source: monthly bulk 2026-05
How this organization compares
Across 37 active pharmacy providers in Georgia.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
20 Glenlake Pkwy Ne
Atlanta, GA 303283473
Mailing address
20 Glenlake Pkwy Ne
Atlanta, GA 303283473
Authorized official
Diane Sanders
Phcy Compliance Mgr
📞 7707125654
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Brian Chung, M.D. Otolaryngology NPI 1164692554
- John Edwards, R.P.A., RT(R) Radiologic Technologist NPI 1184888497
- Lewis Hamner, MD Obstetrics & Gynecology NPI 1780770792
- Sherry-Ann Marshall, PHARM.D. Pharmacist NPI 1194039115
- Anuj Patel, PHARM.D. Pharmacist NPI 1184911760
- Shahidur Rahman, MD Pediatrics NPI 1043400930
- Vanessa Smith, PHARM.D. Pharmacist NPI 1831305820
Specialties
-
Pharmacy PrimaryA pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1136971 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
KAISER PERMANENTE GLENLAKE
-
KAISER PERMANENTE GLENLAKE
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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