KAISER PERMANENTE PHARMACY NO 391
NPI 1770630097
Pharmacy - Community/Retail Pharmacy in San Juan Capistrano, CA

Active since January 05, 2007
30400 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675(866) 353-5054 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaiser Permanente Pharmacy No 391 NPPES

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

KAISER PERMANENTE PHARMACY NO 391 (NPI 1770630097) is a healthcare organization registered as a community/retail pharmacy in San Juan Capistrano, California and active in the NPI registry since January 2007. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1770630097
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address30400 CAMINO CAPISTRANOSan Juan Capistrano, CA 92675-1300
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJune 23, 2023
NPPES CertifiedJune 23, 2023
NPI 1770630097 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 · PHY44554
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
30400 CAMINO CAPISTRANO, San Juan Capistrano, CA 92675

Other Names 1

Doing Business AsKaiser Permanente Pharmacy No 391

Other Identifiers 2

Medicaid1770630097CA
Other0539405Ncpdp Provider Identification Number

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Pharmacist
30400 CAMINO CAPISTRANO, OUTPATIENT PHARMACY
SAN JUAN CAPISTRANO, CA 92675
Pharmacist
30400 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Physical Therapist
30400 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Family Medicine
30400 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Physical Therapist
30400 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Family Medicine
30400 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Family Medicine
30400 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Family Medicine
30400 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770630097, enumerated as an "organization" on January 05, 2007.

The provider is located at 30400 CAMINO CAPISTRANO SAN JUAN CAPISTRANO, CA 92675 and the phone number is (866) 353-5054.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.