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● Active Type 2 · Organization

Kaiser Foundation Health Plan Of Georgia, Inc.

Pharmacy·Jonesboro, GA· NPI 1861817017 · Enumerated 2014 · 12 years on NPI
Kaiser Foundation Health Plan Of Georgia, Inc. is 1 of 40 pharmacy organizations in Georgia.
NPI age
12 years
Enumerated 2014-02-25
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 40 active pharmacy providers in Georgia.

NPI age
12 years
↓ 1 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 25% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-02Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
2400 Mount Zion Pkwy
Jonesboro, GA 302362500
📞 7706034242fax 7706034243
Mailing address
2400 Mount Zion Pkwy
Jonesboro, GA 302362500
📞 7706034242fax 7706034243

Authorized official

Diane Sanders
Pharmacy Compliance Manager
📞 7707125654

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Suppliers › Pharmacy
  • 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 #PHCL000025 taxonomy 3336C0002X
  • Pharmacy
    A 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...
    taxonomy 333600000X
  • Pharmacy
    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.
    taxonomy 3336M0003X

Identifiers

TypeValueNotes
01 2144375 PK

Other names on file (2)

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

  • Kaiser Permanente Southwood Clinic Pharmacy
    Type code 3 recorded 2021-08-04
  • Kaiser Permanente Southwood Clinic Pharmacy
    Type code 3 recorded 2014-02-25

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