Kaiser Permanente Pharmacy #355

LBN: Kaiser Foundation Hospitals
Kaiser Permanente Pharmacy #355 is an health care organization with primary practice located at 411 N Lakeview Ave , Anaheim CA 92807-3028. 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 Hospitals can be contacted via phone (866) 353-5029, or through Polchak, Rhonda Lee via phone (562) 658-3510.

Contact Information

Primary practice address
411 N Lakeview Ave Anaheim CA 92807-3028
Phone: (866) 353-5029
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 / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467500348
LBN Legal business name Kaiser Foundation Hospitals
DBA Doing business as Kaiser Permanente Pharmacy #355
Authorized official Polchak, Rhonda Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467500348 NPPES
Other 2027419 PK
MEDICAID 1467500348 PK
Other 0528197 PK

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