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KAISER PERMANENTE PHRMCY #563
NPI 1760628911
Pharmacy - Community/Retail Pharmacy in City Of Industry, CA

Active since December 17, 2008
12801 CROSSROADS PKWY S, CITY OF INDUSTRY, CA 91746(866) 214-7514 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaiser Permanente Phrmcy #563 NPPES

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

KAISER PERMANENTE PHRMCY #563 (NPI 1760628911) is a healthcare organization registered as a community/retail pharmacy in City Of Industry, California and active in the NPI registry since December 2008. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1760628911
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address12801 CROSSROADS PKWY SCity Of Industry, CA 91746-3502
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Phone(866) 214-7514
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateDecember 17, 2008
Last NPPES UpdateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1760628911 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 · PHY49769
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
12801 CROSSROADS PKWY S, City Of Industry, CA 91746
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Other Names 1

Doing Business AsKaiser Permanente Phrmcy #563

Other Identifiers 2

Medicaid1760628911CA
Other5633119Ncpdp 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 ›

Other Providers at the Same Location NPPES 4

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

BLAYNE CUTLER
Preventive Medicine (Public Health & General Preventive Medicine)
12801 CROSSROADS PKWY S, 12801 CROSSROADS PARKWAY, SUTE 200
CITY OF INDUSTRY, CA 91746
Los Angeles County (562) 222-7896
MS. CHAN KIET WONG PHARM. D.
Pharmacist
12801 CROSSROADS PKWY S
CITY OF INDUSTRY, CA 91746
Los Angeles County (562) 908-3818
MRS. THEODORA WONG MD, RD
Physical Medicine & Rehabilitation
12801 CROSSROADS PKWY S
CITY OF INDUSTRY, CA 91746
Los Angeles County (562) 463-4357
MRS. KARILYNN MIYOKO MORIYAMA PT, ATC
Physical Therapist
12801 CROSSROADS PKWY S
CITY OF INDUSTRY, CA 91746
Los Angeles County (562) 463-4337

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 1760628911. It was assigned to this organization in the NPPES registry on December 17, 2008. The provider is doing business as Kaiser Permanente Phrmcy #563.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 12801 Crossroads Pkwy S, City Of Industry, CA 91746. The listed phone number is (866) 214-7514.

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 21, 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.