NPI age
16 years
Enumerated 2009-06-16
● 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 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 37 active pharmacy providers in Georgia.
NPI age
16 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 45% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-06Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1400 Northside Forsyth Dr Ste 350
Cumming, GA 300416018
Mailing address
1400 Northside Forsyth Dr Ste 350
Cumming, GA 300416018
Authorized official
Diane Sanders
Pharmacy Compliance Manager
📞 7707125654
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Avantika Patel, M.D. Internal Medicine NPI 1770783417
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 | 1158840 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kaiser Permanente Forsyth Pharmacy
-
Kaiser Permanente Forsyth Pharmacy
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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