NPI age
19 years
Enumerated 2006-06-22
● Active Type 2 · Organization
Kaiser Permanente Internal
Kaiser Permanente Internal is 1 of 37 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 Harvey
Phcy Compliance Mgr Ga
Last NPPES update
2007-07-19
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
1
In the 45% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
200 Cres Ctr Pkwy
Tucker, GA 300847047
Mailing address
200 Cres Ctr Pkwy
Tucker, GA 300847047
Authorized official
Diane Sanders Harvey
Phcy Compliance Mgr Ga
📞 4049495336
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Katrina Bader, CNP Nurse Practitioner NPI 1023110053
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.
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1141023 | OTHER ID NUMBER |
| 01 | 1141023 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Practice context
Multi-provider organization. 1 individual provider 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.