Kaiser Permanente Pharmacy #171

LBN: Kaiser Foundation Hospitals
Kaiser Permanente Pharmacy #171 is an health care organization with primary practice located at 2295 S Vineyard Ave Bldg B Fl-1 Rm A1013, Ontario CA 91761-7925. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Kaiser Foundation Hospitals can be contacted via phone (866) 699-9744, or through Polchak, Rhonda Lee via phone (562) 658-3510.

Contact Information

Primary practice address
2295 S Vineyard Ave Bldg B Fl-1 Rm A1013 Ontario CA 91761-7925
Phone: (866) 699-9744
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 PHY46811 California
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1790832020
LBN Legal business name Kaiser Foundation Hospitals
DBA Doing business as Kaiser Permanente Pharmacy #171
Authorized official Polchak, Rhonda Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 13th, 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 1790832020 NPPES
Other 5613535 NCPDP PROVIDER IDENTIFICATION NUMBER

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