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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790832020 | NPPES |
| Other | 5613535 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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