KAISER PERMANENTE PHARMACY #171 - NPI 1790832020

Q: What is Kaiser Foundation Hospitals's NPI number?

The NPI number for Kaiser Foundation Hospitals is 1790832020. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is also known as Kaiser Permanente Pharmacy #171.

Q: What is Kaiser Foundation Hospitals's specialty?

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

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About Kaiser Permanente Pharmacy #171 NPPES

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

KAISER PERMANENTE PHARMACY #171 (NPI 1790832020) is a healthcare organization registered as a compounding pharmacy in Ontario, 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

NPI1790832020

Entity TypeOrganization

Primary Taxonomy3336C0004X

Legal Business NameKAISER FOUNDATION HOSPITALS

Location Address2295 S VINEYARD AVE, BLDG B FL-1 RM A1013Ontario, CA 91761-7925

Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804

Phone(866) 699-9744

Organization SubpartNo

Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510

Enumeration DateJanuary 5, 2007

Last NPPES UpdateJune 13, 20235 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1790832020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers

Taxonomy Code3336C0004X

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

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PHY46811 (CA)

Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X

2295 S VINEYARD AVE, Ontario, CA 91761

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Other Names 1

Other NameKaiser Permanente Pharmacy #171

Other Identifiers 1

Other5613535Ncpdp 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 20

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

DR. BENJAMIN MAURICE KERSHBERG M.D.

Pediatrics

2295 S VINEYARD AVE, MOB A
ONTARIO, CA 91761

San Bernardino County (909) 724-2554

MS. CHRISTINE RAMOS PHARM.D.

Pharmacist