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KAISER PERMANENTE PHARMACY #122
NPI 1104244490
Pharmacy - Community/Retail Pharmacy in Harbor City, CA

Active since April 03, 2014
25821 VERMONT AVE, FL 1, HARBOR CITY, CA 90710(844) 424-1866 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, May 6, 2020 (2 updates tracked since 2020).

About Kaiser Permanente Pharmacy #122 NPPES

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

KAISER PERMANENTE PHARMACY #122 (NPI 1104244490) is a healthcare organization registered as a community/retail pharmacy in Harbor City, California and active in the NPI registry since April 2014. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1104244490
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address25821 VERMONT AVE, FL 1Harbor City, CA 90710-3518
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Phone(844) 424-1866
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateApril 3, 2014
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1104244490 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 · PHY51848
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
25821 VERMONT AVE, Harbor City, CA 90710
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Other Names 1

Other NameKaiser Permanente Pharmacy #122

Other Identifiers 3

Medicaid1104244490CA
Other2145571Pk
Other5651268CA · Ncpdp

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 19

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

DR. CARRIE MADDEN PHARM D
Pharmacist (Ambulatory Care)
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7078
DR. RICARDO JOSEPH HERRERA PT, DPT, FAAOMPT
Physical Therapist
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (951) 378-1599
DR. BRIAN AKBARI AHANGAR M.D.
Physical Medicine & Rehabilitation
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7000
MRS. BICH-THUY GRONER
Pharmacist
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7120
DR. JULIE J LEE MD
Internal Medicine (Infectious Disease)
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7060
MRS. LALISA DAVIDSON RCP
Respiratory Therapist, Registered (General Care)
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7184
DR. DONAVON TYLER WRIGHT D.P.M.
Podiatrist (Foot & Ankle Surgery)
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7315
JASON JOSEPH WATERMAN M.D.
Internal Medicine (Sports Medicine)
25821 VERMONT AVE, COASTLINE MEDICAL OFFICE - DEPARTMENT OF ORTHOPEDICS
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7371

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 1104244490. It was assigned to this organization in the NPPES registry on April 3, 2014. The provider is also known as Kaiser Permanente Pharmacy #122.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 25821 Vermont Ave Fl 1, Harbor City, CA 90710. The listed phone number is (844) 424-1866.

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 24 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 July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.