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KAISER PERMANENTE PHARMACY #005C
NPI 1699017582
Pharmacy - Home Infusion Therapy Pharmacy in Los Angeles, CA

Active since March 19, 2013
4900 W SUNSET BLVD STE 164, LOS ANGELES, CA 90027(323) 783-8719 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, May 14, 2020 (2 updates tracked since 2020).

About Kaiser Permanente Pharmacy #005c NPPES

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

KAISER PERMANENTE PHARMACY #005C (NPI 1699017582) is a healthcare organization registered as a home infusion therapy pharmacy in Los Angeles, California and active in the NPI registry since March 2013. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1699017582
Entity TypeOrganization
Primary Taxonomy3336H0001X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address4900 W SUNSET BLVD STE 164Los Angeles, CA 90027-5814
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Phone(323) 783-8719
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateMarch 19, 2013
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1699017582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers
Taxonomy Code3336H0001X
License✔ Licensed in CA · PHY51418
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Also ListedPharmacyTaxonomy 333600000X
4900 W SUNSET BLVD STE 164, Los Angeles, CA 90027
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Other Names 1

Other NameKaiser Permanente Pharmacy #005c

Other Identifiers 2

Other2139490Pk
Other5646902CA · Ncpdp

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 1699017582. It was assigned to this organization in the NPPES registry on March 19, 2013. The provider is also known as Kaiser Permanente Pharmacy #005c.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 4900 W Sunset Blvd Ste 164, Los Angeles, CA 90027. The listed phone number is (323) 783-8719.

What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Inc was last updated on June 23, 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.