{"npi":"1417214925","type":"NPI-2","status":"active","name":{"display":"Kaiser Foundation Health Plan Of Georgia INC","other":[],"organization_name":"KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC","authorised_official":"Diane Sanders"},"specialty":{"primary_taxonomy":"3336C0002X","primary_taxonomy_description":"Clinic Pharmacy","slug":"clinic-pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0002X","description":"Clinic Pharmacy","primary":true,"state":"GA","license":"PHCL000017"}]},"addresses":[{"purpose":"LOCATION","street_1":"750 TOWNPARK LN NW","city":"KENNESAW","state":"GA","postal_code":"301445579","country_code":"US","phone":"7705145636","fax":"7707944009"},{"purpose":"MAILING","street_1":"750 TOWNPARK LN NW","city":"KENNESAW","state":"GA","postal_code":"301445579","country_code":"US","phone":"7705145636","fax":"7707944009"}],"license":{"state":"GA","number":"PHCL000017"},"identifiers":[{"type_code":"01","label":"Other","value":"1162306","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-04-20","last_updated":"2021-08-04","_meta":{"source":"NPPES","snapshot_date":"2021-08-04","doc_url":"https://findmynpi.com/api"}}