KAISER PERMANENTE PHARMACY #305C
NPI 1780032623
Pharmacy - Compounding Pharmacy in Los Angeles, CA

NPI Status: Active since June 01, 2016

Contact Information

6041 CADILLAC AVE
RM 4644
LOS ANGELES, CA
ZIP 90034
Phone: (323) 857-4123

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  • Organization
  • Pharmacy
  • Compounding Pharmacy

About KAISER PERMANENTE PHARMACY #305C

This page provides the complete NPI Profile along with additional information for Kaiser Permanente Pharmacy #305c, a provider established in Los Angeles, California operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1780032623 assigned on June 2016. The practitioner's primary taxonomy code is 3336C0004X with license number PHY55589 (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 #305c. The authorized official of this NPI record is Rhonda Lee Polchak (Vp Pharmacy Operations & Svcs Scal)

NPI
1780032623
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN INC
Other Organization Name
KAISER PERMANENTE PHARMACY #305C
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
6041 CADILLAC AVE RM 4644 LOS ANGELES, CA 90034
Location Phone
(323) 857-4123
Mailing Address
12254 BELLFLOWER BLVD FL 2 PHARMACY OPERATIONS DOWNEY, CA 90242
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2016
Last Update Date
07-05-2023
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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 Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
License No.
PHY55589
License State
CA
Taxonomy Description
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

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)
1333600000XSuppliers

Pharmacy

PHY55589 (CA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RHONDA LEE POLCHAK

Authorized Official Title
VP PHARMACY OPERATIONS & SVCS SCAL
Authorized Official Phone
(562) 658-3510

Reviews for KAISER PERMANENTE PHARMACY #305C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780032623, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 0 + 3 + 4 + 6 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1780032623.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Genetic Counselor, MS
6041 CADILLAC AVE, VENICE BUILDING, 3RD FLOOR
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, KAISER PERMANENTE WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, KAISER PERMANENTE WLA
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist (Pharmacotherapy)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, INPATIENT PHARMACY, ROOM 2081
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Physical Medicine & Rehabilitation (Pain Medicine)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Anesthesiology
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE
LOS ANGELES, CA 90034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780032623, enumerated as an "organization" on June 01, 2016.

The provider is located at 6041 CADILLAC AVE RM 4644 LOS ANGELES, CA 90034 and the phone number is (323) 857-4123.

Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.