# KAISER PERMANENTE PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114467883
- **Authorized official:** DR. EUGENIA ELLIS PHARMD (PHARMACY SUPERVISOR)
- **Authorized official phone:** (909) 367-7080

## Contact information

- **Practice address:** 1183 E FOOTHILL BLVD, FIRST FLOOR, UPLAND, CA 91786-4079
- **Practice address phone:** (909) 367-7080
- **Practice address fax:** (909) 367-7076
- **Mailing address:** 1183 E FOOTHILL BLVD, FIRST FLOOR, UPLAND, CA 91786-4079
- **Mailing address phone:** (909) 367-7080
- **Mailing address fax:** (909) 367-7076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 36910 | CA | Yes |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/01/2017