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KAISER FOUNDATION HEALTH PLAN INC NPI 1366679557


NPI Information

NPI: 1366679557
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Doing Business As: KAISER ONCOLOGY PHMCY #170

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
9985 SIERRA AVE FL MOB24
FONTANA, CA
ZIP 92335
Phone: (909) 427-3444
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KAISER FOUNDATION HEALTH PLAN INC is a compounding pharmacy pharmacy in Fontana, CA. The provider is 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. KAISER FOUNDATION HEALTH PLAN INC NPI is 1366679557. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Oncology Phmcy #170.

The provider's business location address is:

9985 SIERRA AVE FL MOB24
FONTANA, CA
ZIP 92335-720
Phone: (909) 427-3444

The provider's authorized official is Rhonda Lee Polchak .
The authorized official title is Vp Pharmacy Operations & Svcs, Scal and has the following contact phone number (562) 658-3510.

The enumeration date for this NPI number is 6/16/2009 and was last updated on 7/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyPHY48689CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15641142OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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