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● Active Type 2 · Organization

Kaiser Foundation Health Plan Of Georgia, Inc.

Pharmacy·Tucker, GA· NPI 1578678462 · Enumerated 2006 · 19 years on NPI
Kaiser Foundation Health Plan Of Georgia, Inc. is 1 of 37 pharmacy organizations in Georgia.
NPI age
19 years
Enumerated 2006-08-20
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sanders-Harvey
Phcy Compliance Mgr
Last NPPES update
2021-08-04
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
0

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
200 Crescent Center Pkwy
Tucker, GA 300847047
📞 7704963523fax 7704963713
Mailing address
200 Crescent Center Pkwy
Tucker, GA 300847047
📞 7704963523fax 7704963713

Authorized official

Diane Sanders-Harvey
Phcy Compliance Mgr
📞 4049495336

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Suppliers › Pharmacy
  • Pharmacy Primary
    A 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.
    GA license #PHRE007007 taxonomy 3336M0003X

Identifiers

TypeValueNotes
01 1136111 NCPDP PROVIDER IDENTIFICATION NUMBER

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • KAISER PERMANENTE CRESCENT CENTER
    Type code 3 recorded 2021-08-04
  • KAISER PERMANENTE CRESCENT CENTER
    Type code 3 recorded 2007-07-19

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Pharmacy organizations in Georgia
→ Georgia hub
About this specialty
→ Specialty guide