NPI age
14 years
Enumerated 2011-11-28
● 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
Plus 2 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 37 active pharmacy providers in Georgia.
NPI age
14 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 45% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-11Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2142 W Broad St Bldg 200
Athens, GA 306063509
Mailing address
2142 W Broad St Bldg 200
Athens, GA 306063509
Authorized official
Diane Sanders
Pharmacy Compliance Manager
📞 7707125654
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Tony Addington, M.D. Pediatrics NPI 1093778797
- Elizabeth Jackson Pharmacist NPI 1720930084
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...
-
PharmacyA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1161900 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kaiser Permanente Athens
-
Kaiser Permanente Athens
Practice context
Multi-provider organization. 2 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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