Kaiser Permanente Pharmacy #162

LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy #162 is an health care organization with primary practice located at 9961 Sierra Ave Mob 3 Basement Rm#1-B800, Fontana CA 92335-6720. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (909) 427-4941, or through Polchak, Rhonda Lee via phone (562) 658-3510.

Contact Information

Primary practice address
9961 Sierra Ave Mob 3 Basement Rm#1-B800 Fontana CA 92335-6720
Phone: (909) 427-4941
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Polchak, Rhonda Lee
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X PHY47314 California

Profile Details

NPI number 1962568238
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Permanente Pharmacy #162
Authorized official Polchak, Rhonda Lee
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Jun 13th, 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 1962568238 NPPES
California Other 5624754 NCPDP
California Other 2111836 NCPDP

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