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NPI 1417214925
● Active Type 2 · Organization
Kaiser Foundation Health Plan Of Georgia Inc
Pharmacy · Kennesaw, GA · NPI 1417214925
·
Enumerated 2012 · 14 years on NPI
Kaiser Foundation Health Plan Of Georgia Inc is 1 of 40 pharmacy organizations in Georgia.
NPI age
14 years
Enumerated 2012-04-20
Primary specialty
Pharmacy
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 40 active pharmacy providers in Georgia.
NPI age
14 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2012 → 2026
2012-04 Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
750 Townpark Ln Nw
Kennesaw, GA 301445579
📞 7705145636 fax 7707944009
Mailing address
750 Townpark Ln Nw
Kennesaw, GA 301445579
📞 7705145636 fax 7707944009
Authorized official
Diane Sanders
Pharmacy Compliance Manager
📞 7707125654
Individual providers at this organization
20 individual providers on file at this primary practice address.
Dante Adan , MD
Pediatrics
NPI 1497724330
Olawande Arasi , PHARMD
Pharmacist
NPI 1972366797
Sunbal Ashraf , M.D.
Psychiatry & Neurology
NPI 1568818938
Namita Bhardwaj , MD
Ophthalmology
NPI 1568753838
Yaw Boachie-Adjei , MD
Orthopaedic Surgery
NPI 1770797938
Anita Brown , RPH
Pharmacist
NPI 1033064639
Theodis Buggs , M.D.
Orthopaedic Surgery
NPI 1215034483
Natosha Canty-Johnson , M.D.
Family Medicine
NPI 1578765764
Charlotte Chintu , MSN, APRN, FNP-C
Nurse Practitioner
NPI 1720555741
Joy Church , M.D.
Family Medicine
NPI 1609976729
Zachary Clevenger , AGACNP
Nurse Practitioner
NPI 1275588071
Kimberly Dao-King , M.D.
Pediatrics
NPI 1023403607
Gretchen Earwood
Dietitian, Registered
NPI 1821471152
Kimm Freeman
Pharmacist
NPI 1093642514
Nikia Garland , DO
Family Medicine
NPI 1114180791
Yvette George , M.D.
Dermatology
NPI 1528050804
Carol Glover , M.D.
Psychiatry & Neurology
NPI 1699829580
Kristina Hazard , PHARMD
Pharmacist
NPI 1457859365
Christy Hewling , MD
Emergency Medicine
NPI 1487601811
Dareema Hughes , MD
Emergency Medicine
NPI 1336382753
Specialties
Pharmacy
Primary
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
GA license #PHCL000017 taxonomy 3336C0002X
Identifiers
Type Value Notes
01
1162306
NCPDP PROVIDER IDENTIFICATION NUMBER
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Kaiser Permanente Townpark Clinic Pharmacy
Type code 3
recorded 2021-08-04
Kaiser Permanente Townpark Clinic Pharmacy
Type code 3
recorded 2012-04-20
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.