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KAISER PERMANENTE PHARMACY #657
NPI 1386933885
Pharmacy - Community/Retail Pharmacy in Ontario, CA

Active since April 05, 2011
2295 S VINEYARD AVE BLDG D, FLOOR 1, ONTARIO, CA 91761(855) 536-1310 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaiser Permanente Pharmacy #657 NPPES

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

KAISER PERMANENTE PHARMACY #657 (NPI 1386933885) is a healthcare organization registered as a community/retail pharmacy in Ontario, California and active in the NPI registry since April 2011. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1386933885
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address2295 S VINEYARD AVE BLDG D, FLOOR 1Ontario, CA 91761-7925
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Phone(855) 536-1310
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateApril 5, 2011
Last NPPES UpdateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1386933885 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 · PHY50602
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
2295 S VINEYARD AVE BLDG D, Ontario, CA 91761
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Other Names 1

Other NameKaiser Permanente Pharmacy #657

Other Identifiers 2

Other5640619Ncpdp Provider Identification Number
Medicaid1386933885CA

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 7

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

DAVID LU
Pharmacist
2295 S VINEYARD AVE BLDG D
ONTARIO, CA 91761
San Bernardino County (909) 724-3120
MR. DZUNG T. PHAM
Respiratory Therapist, Certified
2295 S VINEYARD AVE BLDG D
ONTARIO, CA 91761
San Bernardino County (909) 724-5000
GUSTAVO MARTINEZ RPH
Pharmacist
2295 S VINEYARD AVE BLDG D
ONTARIO, CA 91761
San Bernardino County (909) 724-3120
CATHERINE A WALSH M.D.
Plastic Surgery
2295 S VINEYARD AVE BLDG D
ONTARIO, CA 91761
San Bernardino County (909) 724-3206
JOANNA CHRISTINE LIM M.D.
Surgery
2295 S VINEYARD AVE BLDG D
ONTARIO, CA 91761
San Bernardino County (909) 724-5000
DR. MICHAEL SEUNG OH M.D.
Psychiatry & Neurology (Neurology)
2295 S VINEYARD AVE BLDG D
ONTARIO, CA 91761
San Bernardino County (888) 750-0036
STEFANIE ANN VARELA N.P.
Nurse Practitioner
2295 S VINEYARD AVE BLDG D
ONTARIO, CA 91761
San Bernardino County (888) 750-0036

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 1386933885. It was assigned to this organization in the NPPES registry on April 5, 2011. The provider is also known as Kaiser Permanente Pharmacy #657.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 2295 S Vineyard Ave Bldg D Floor 1, Ontario, CA 91761. The listed phone number is (855) 536-1310.

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 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.