NPI age
15 years
Enumerated 2010-12-21
● Active Type 2 · Organization
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc. is 1 of 961 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sanders
Pharmacy Compliance Manager
Last NPPES update
2021-08-04
Source: monthly bulk 2026-05
How this organization compares
Across 961 active pharmacy providers in Georgia.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 80% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-12Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1478 Dogwood Dr Se
Conyers, GA 300135088
Mailing address
1478 Dogwood Dr Se
Conyers, GA 300135088
Authorized official
Diane Sanders
Pharmacy Compliance Manager
📞 7707125654
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
PharmacyA 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 | 1160756 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kaiser Permanente Conyers
-
Kaiser Permanente Conyers
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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