Kaiser Permanente Pharmacy #657
LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy #657 is an health care organization with primary practice located at 2295 S Vineyard Ave Bldg D Floor 1, Ontario CA 91761-7925. 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 (855) 536-1310, or through Polchak, Rhonda Lee via phone (562) 658-3510.
Contact Information
Primary practice address
2295 S Vineyard Ave Bldg D Floor 1
Ontario CA 91761-7925
Phone: (855) 536-1310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY50602 | California |
Profile Details
| NPI number | 1386933885 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Inc |
| DBA Doing business as | Kaiser Permanente Pharmacy #657 |
| Authorized official | Polchak, Rhonda Lee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2011 |
| Last updated | Jun 2nd, 2023 - about 2 years ago |
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 | 1386933885 | NPPES |
| Other | 5640619 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 1386933885 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Popular Providers
-
Garfield Beach Cvs Llc
2238 S Euclid Ave , Ontario CA 91762-6503 -
Thrifty Payless Inc
1050 North Mountain Avenue , Ontario CA 91762-2114 -
Tdsm Inc
437 N Euclid Ave Suite B, Ontario CA 91762-3456 -
Garfield Beach Cvs Llc
2456 S Grove Ave , Ontario CA 91761-6224 -
Gemmel Pharmacy, Inc.
143 N Euclid Ave , Ontario CA 91762-3510 -
J&J Rx
403 W F St , Ontario CA 91762-3207 -
Sams West Inc
951 N Milliken Ave , Ontario CA 91764-5008 -
Thrifty Payless Inc
222 West G Street , Ontario CA 91762-3228