Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER PERMANENTE PHRMCY #156
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
1301 CALIFORNIA ST, REDLANDS, CA 92374-2910
(866) 214-7583
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
PHY49105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205091261
—
CA
01
—
5630959
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/18/2008
Last updated
07/05/2023
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