KAISER PERMANENTE PHARMACY #005C
NPI 1699017582
Pharmacy - Home Infusion Therapy Pharmacy in Los Angeles, CA
- Organization
- Pharmacy
- Home Infusion Therapy Pharmacy
About KAISER PERMANENTE PHARMACY #005C
This page provides the complete NPI Profile along with additional information for Kaiser Permanente Pharmacy #005c, a provider established in Los Angeles, California operating as a Pharmacy, focusing in home infusion therapy pharmacy . The healthcare provider is registered in the NPI registry with number 1699017582 assigned on March 2013. The practitioner's primary taxonomy code is 3336H0001X with license number PHY51418 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Kaiser Permanente Pharmacy #005c. The authorized official of this NPI record is Rhonda Lee Polchak (Vp Pharmacy Operations & Svcs, Scal)
- NPI
- 1699017582 Verify this NPI
- Provider Legal Name
- KAISER FOUNDATION HEALTH PLAN INC
- Other Organization Name
- KAISER PERMANENTE PHARMACY #005C
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4900 W SUNSET BLVD STE 164 LOS ANGELES, CA 90027
- Location Phone
- (323) 783-8719
- Mailing Address
- 12254 BELLFLOWER BLVD FL 2 PHARMACY OPERATIONS DOWNEY, CA 90242
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-19-2013
- Last Update Date
- 06-23-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Home Infusion Therapy Pharmacy
- Taxonomy Code
- 3336H0001X
- Type
- Suppliers
- License No.
- PHY51418
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2139490 | OTHER (01) | PK | |
| 5646902 | OTHER (01) | CA | NCPDP |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699017582, enumerated as an "organization" on March 19, 2013.
The provider is located at 4900 W SUNSET BLVD STE 164 LOS ANGELES, CA 90027 and the phone number is (323) 783-8719.
Pharmacy with taxonomy code 3336H0001X and a focus in Home Infusion Therapy Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
