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KAISER PERMANENTE PHARMACY #361
NPI 1063569382
Pharmacy - Community/Retail Pharmacy in Santa Ana, CA

Active since January 05, 2007
1900 E 4TH ST, SANTA ANA, CA 92705(866) 353-5060 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaiser Permanente Pharmacy #361 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER PERMANENTE PHARMACY #361 (NPI 1063569382) is a healthcare organization registered as a community/retail pharmacy in Santa Ana, California and active in the NPI registry since January 2007. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1063569382
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address1900 E 4TH STSanta Ana, CA 92705-3910
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Phone(866) 353-5060
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1063569382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY40710
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X
1900 E 4TH ST, Santa Ana, CA 92705
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Other Names 1

Doing Business AsKaiser Permanente Pharmacy #361

Other Identifiers 2

Medicaid1063569382CA
Other0525571Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL JAMES PANOWICZ
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4766
ALEXANDER WONG DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (833) 574-2273
DR. RHETT MARK BARTOLOME D.O.
Family Medicine
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4675
DR. CHRISTOPHER THOMAS DONNELLY M.D.
Obstetrics & Gynecology
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4700
DR. LUIS MANUEL SANDOVAL MD
Psychiatry & Neurology (Psychiatry)
1900 E 4TH ST, 2ND FLOOR
SANTA ANA, CA 92705
Orange County (714) 223-4589
LILY LEE D.O.
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 674-4766
CRYSTAL CHEUNG
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4766
ANDREW TAEHWAN SHIN DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Inc is 1063569382. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is doing business as Kaiser Permanente Pharmacy #361.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 1900 E 4th St, Santa Ana, CA 92705. The listed phone number is (866) 353-5060.

What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Kaiser Foundation Health Plan Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 23 other insurers list Kaiser Foundation Health Plan Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Inc was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.