Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #264
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
5250 LANKERSHIM BLVD FL 9, NORTH HOLLYWOOD, CA 91601-3186
(855) 777-8073
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY 51530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124460191
—
CA
01
—
2141494
PK
—
01
—
5648463
NCPDP
CA
Enumeration date
07/19/2013
Last updated
06/02/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us