1. Home
  2. Directory
  3. California
  4. San Diego
  5. Pharmacy
  6. NPI Profile

KAISER PERMANENTE PHARMACY #249
NPI 1710120506
Pharmacy - Community/Retail Pharmacy in San Diego, CA

Active since April 09, 2009
17140 BERNARDO CENTER DR STE 160, SAN DIEGO, CA 92128(866) 385-2647 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaiser Permanente Pharmacy #249 NPPES

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

KAISER PERMANENTE PHARMACY #249 (NPI 1710120506) is a healthcare organization registered as a community/retail pharmacy in San Diego, California and active in the NPI registry since April 2009. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1710120506
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address17140 BERNARDO CENTER DR STE 160San Diego, CA 92128-2093
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Phone(866) 385-2647
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateApril 9, 2009
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1710120506 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 · PHY49886
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
17140 BERNARDO CENTER DR STE 160, San Diego, CA 92128
Open in Google Maps ↗

Other Names 1

Other NameKaiser Permanente Pharmacy #249

Other Identifiers 2

Medicaid1710120506CA
Other5634490Ncpdp Provider Identification Number

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 1710120506. It was assigned to this organization in the NPPES registry on April 9, 2009. The provider is also known as Kaiser Permanente Pharmacy #249.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 17140 Bernardo Center Dr Ste 160, San Diego, CA 92128. The listed phone number is (866) 385-2647.

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 June 15, 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.