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KAISER PERMANENTE PHARMACY #260C
NPI 1134528631
Pharmacy - Compounding Pharmacy in Lancaster, CA

Active since August 20, 2014
615 W AVENUE L FL 3, LANCASTER, CA 93534(661) 723-2010 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Jul 21, 2021, Jun 16, 2016 (3 updates tracked since 2016).

About Kaiser Permanente Pharmacy #260c NPPES

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

KAISER PERMANENTE PHARMACY #260C (NPI 1134528631) is a healthcare organization registered as a compounding pharmacy in Lancaster, California and active in the NPI registry since August 2014. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1134528631
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address615 W AVENUE L FL 3Lancaster, CA 93534-7211
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Phone(661) 723-2010
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (652) 658-3510
Enumeration DateAugust 20, 2014
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1134528631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in CA · PHY52054
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
615 W AVENUE L FL 3, Lancaster, CA 93534
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Other Names 1

Other NameKaiser Permanente Pharmacy #260c

Other Identifiers 2

Other2147492Pk
Other5652575CA · 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 ›

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 1134528631. It was assigned to this organization in the NPPES registry on August 20, 2014. The provider is also known as Kaiser Permanente Pharmacy #260c.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 615 W Avenue L Fl 3, Lancaster, CA 93534. The listed phone number is (661) 723-2010.

What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

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 June 12, 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.