Kaiser Permanente Pharmacy #30

LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy #30 is an health care organization with primary practice located at 444 W Glenoaks Blvd , Glendale CA 91202-2917. 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) 352-8964, or through Polchack, Rhonda Lee via phone (562) 658-3510.

Contact Information

Primary practice address
444 W Glenoaks Blvd Glendale CA 91202-2917
Phone: (866) 352-8964
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Polchack, Rhonda Lee
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY39557 California

Profile Details

NPI number 1487701702
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Permanente Pharmacy #30
Authorized official Polchack, Rhonda Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487701702 NPPES
Other 0561933 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 1487701702 NCPDP PROVIDER IDENTIFICATION NUMBER

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