Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #751
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
9455 CLAIREMONT MESA BLVD, HSB 1ST FL, SAN DIEGO, CA 92123-1297
(866) 370-1958
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY55553
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY55553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609316942
—
CA
01
—
5662716
NCPDP
CA
Enumeration date
03/06/2017
Last updated
06/02/2023
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