Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #524
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LEE POLCHAK (VP PHARMACY OPERATIONS & SVCS, SCAL)
(562) 658-3510
Entity
Organization
Contact information
Practice address
28150 KELLER RD, 1ST FL, MURRIETA, CA 92563
(855) 431-5906
Mailing address
12254 BELLFLOWER BLVD FL 2, ATTN: TERESA RIVERA, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
(951) 672-5305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093232282
—
CA
01
—
2171667
PK
—
01
—
5664342
NCPDP
CA
Enumeration date
08/28/2017
Last updated
03/04/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up