Kaiser Permanente Pharmacy
LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy is an health care organization with primary practice located at 1717 E Date Pl , San Bernardino CA 92404-4428. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kaiser Foundation Health Plan Inc can be contacted via phone (866) 342-2823, or through Polchak, Rhonda Lee via phone (562) 658-3510.
Contact Information
Primary practice address
1717 E Date Pl
San Bernardino CA 92404-4428
Phone: (866) 342-2823
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY19771 | California |
Profile Details
NPI number | 1134276454 |
---|---|
LBN Legal business name | Kaiser Foundation Health Plan Inc |
DBA Doing business as | Kaiser Permanente Pharmacy |
Authorized official | Polchak, Rhonda Lee |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 5th, 2007 |
Last updated | Jul 5th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134276454 | NPPES |
California | MEDICAID | 1134276454 | |
California | Other | 0543036 |
Popular Providers
-
Walmart Inc.
4001 Hallmark Pkwy , San Bernardino CA 92407-1876 -
Sams West Inc
1055 Harriman Pl , San Bernardino CA 92408-4203 -
Garfield Beach Cvs Llc
499 W Orange Show Rd , San Bernardino CA 92408-2029 -
Delta Drugs
1666 Medical Center Dr , San Bernardino CA 92411-1257 -
Longs Drug Stores California Llc
1540 E Highland Ave , San Bernardino CA 92404-4614 -
Pharmacy Service Inc
399 E Highland Ave , San Bernardino CA 92404-3808 -
Raj Lunagaria Inc.
1222 W 5Th St , San Bernardino CA 92411-2759 -
Garfield Beach Cvs Llc
1564 W Base Line St , San Bernardino CA 92411-1712