KAISER FOUND HOSPITAL PHRMCY #529
NPI 1104070242
Pharmacy - Institutional Pharmacy in Moreno Valley, CA

Active since November 14, 2008CLIA 05D0573874 · Accreditation
27300 IRIS AVE, MORENO VALLEY, CA 92555(951) 243-2162 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 1, 2023, Apr 22, 2021 (2 updates tracked since 2021).

About Kaiser Found Hospital Phrmcy #529 NPPES

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

KAISER FOUND HOSPITAL PHRMCY #529 (NPI 1104070242) is a healthcare organization registered as an institutional pharmacy in Moreno Valley, California and active in the NPI registry since November 2008. The organization holds an CLIA Accreditation certificate valid through November 30, 2027 and lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1104070242
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameKAISER FOUNDATION HOSPITALS
Location Address27300 IRIS AVEMoreno Valley, CA 92555-4802
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateNovember 14, 2008
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
NPI 1104070242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License Licensed in CA · HSP49011
Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
27300 IRIS AVE, Moreno Valley, CA 92555

Other Names 1

Other NameKaiser Found Hospital Phrmcy #529

Other Identifiers 1

Other5640479Ncpdp Provider Identification Number

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0573874
Facility Type
Hospital
Certificate Effective Date
December 01, 2025
Certificate Expiration Date
November 30, 2027
Laboratory Director
DR. MARK T. TAIRA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kaiser Found Hospital Phrmcy #529 on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for KAISER FOUND HOSPITAL PHRMCY #529

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
27300 IRIS AVE
MORENO VALLEY, CA 92555
Pharmacist
27300 IRIS AVE
MORENO VALLEY, CA 92555
Physical Therapist
27300 IRIS AVE
MORENO VALLEY, CA 92555
Emergency Medicine
27300 IRIS AVE
MORENO VALLEY, CA 92555
Contractor
27300 IRIS AVE
MORENO VALLEY, CA 92555
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Pharmacist
27300 IRIS AVE
MORENO VALLEY, CA 92555
Pharmacist
27300 IRIS AVE
MORENO VALLEY, CA 92555
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Emergency Medicine
27300 IRIS AVE
MORENO VALLEY, CA 92555
Pharmacist
27300 IRIS AVE
MORENO VALLEY, CA 92555
Emergency Medicine
27300 IRIS AVE
MORENO VALLEY, CA 92555
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Physician Assistant
27300 IRIS AVE
MORENO VALLEY, CA 92555
Physician Assistant
27300 IRIS AVE
MORENO VALLEY, CA 92555
Emergency Medicine
27300 IRIS AVE
MORENO VALLEY, CA 92555
Emergency Medicine
27300 IRIS AVE
MORENO VALLEY, CA 92555
Pharmacist
27300 IRIS AVE
MORENO VALLEY, CA 92555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104070242, enumerated as an "organization" on November 14, 2008.

The provider is located at 27300 IRIS AVE MORENO VALLEY, CA 92555 and the phone number is (951) 243-2162.

Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.