KAISER PERMANENTE PHARMACY #162
NPI 1962568238
Pharmacy - Compounding Pharmacy in Fontana, CA

Q: What is Kaiser Foundation Health Plan Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Inc is 1962568238. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is also known as Kaiser Permanente Pharmacy #162.

Q: 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.

Active since December 29, 2006

9961 SIERRA AVE, MOB 3 BASEMENT RM#1-B800, FONTANA, CA 92335(909) 427-4941 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Aug 7, 2020, Oct 20, 2016 (3 updates tracked since 2016).

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About Kaiser Permanente Pharmacy #162 NPPES

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

KAISER PERMANENTE PHARMACY #162 (NPI 1962568238) is a healthcare organization registered as a compounding pharmacy in Fontana, California and active in the NPI registry since December 2006. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1962568238

Entity TypeOrganization

Primary Taxonomy3336C0004X

Legal Business NameKAISER FOUNDATION HEALTH PLAN INC

Location Address9961 SIERRA AVE, MOB 3 BASEMENT RM#1-B800Fontana, CA 92335-6720

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

Phone(909) 427-4941

Organization SubpartNo

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

Enumeration DateDecember 29, 2006

Last NPPES UpdateJune 13, 20233 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1962568238 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 · PHY47314

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

9961 SIERRA AVE, Fontana, CA 92335

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Other Names 1

Other NameKaiser Permanente Pharmacy #162

Other Identifiers 2

Other5624754CA · Ncpdp

Other2111836Pk

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.

SHEILA ANN VANALLEN PT

Physical Therapist

9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335

San Bernardino County (909) 427-7727

MR. JAMES DAVID KILLEEN III M.D.

Pediatrics

9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335

San Bernardino County (909) 427-6960

MR. DHIRESH N PATEL RPH

Pharmacist