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

Active since June 01, 2016
6041 CADILLAC AVE, RM 4644, LOS ANGELES, CA 90034(323) 857-4123 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2023, Jun 9, 2021, Apr 11, 2017 (3 updates tracked since 2017).

About Kaiser Permanente Pharmacy #305c NPPES

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

KAISER PERMANENTE PHARMACY #305C (NPI 1780032623) is a healthcare organization registered as a compounding pharmacy in Los Angeles, California and active in the NPI registry since June 2016. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs Scal, as its authorized official.

NPPES Registry Identity

NPI1780032623
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address6041 CADILLAC AVE, RM 4644Los Angeles, CA 90034-1702
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 DateJune 1, 2016
Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1780032623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License Licensed in CA · PHY55589
Definition
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.
Also ListedPharmacyTaxonomy 333600000X · License PHY55589 (CA)
6041 CADILLAC AVE, Los Angeles, CA 90034

Other Names 1

Other NameKaiser Permanente Pharmacy #305c

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Advanced Practice Midwife
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine (Cardiovascular Disease)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, KAISER WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE, INTERNAL MEDICINE MODULE 2D
LOS ANGELES, CA 90034
Internal Medicine (Nephrology)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Anesthesiology
6041 CADILLAC AVE
LOS ANGELES, CA 90034

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 1780032623. It was assigned to this organization in the NPPES registry on June 1, 2016. The provider is also known as Kaiser Permanente Pharmacy #305c.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 6041 Cadillac Ave Rm 4644, Los Angeles, CA 90034. The listed phone number is (323) 857-4123.

What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Inc was last updated on July 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.