Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER PERMANENTE PHARMACY #336
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
1550 W MANCHESTER AVE FL 1, LOS ANGELES, CA 90047-5424
(866) 352-9934
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
PHY50445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801196894
—
CA
01
—
5639488
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/25/2010
Last updated
06/12/2023
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