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KAISER FOUNDATION HEALTH PLAN INC NPI 1548317860


NPI Information

NPI: 1548317860
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Other Name: KAISER PERMANENTE PHARMACY NO 157

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
14011 PARK AVE
VICTORVILLE, CA
ZIP 92392
Phone: (866) 352-1151
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KAISER FOUNDATION HEALTH PLAN INC is a community/retail pharmacy pharmacy in Victorville, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KAISER FOUNDATION HEALTH PLAN INC NPI is 1548317860. The provider is registered as an organization entity type.
The provider Other Name Is Kaiser Permanente Pharmacy No 157.

The provider's business location address is:

14011 PARK AVE
VICTORVILLE, CA
ZIP 92392-413
Phone: (866) 352-1151

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 1/5/2007 and was last updated on 6/13/2023.


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
23336C0003XPharmacyCommunity/Retail PharmacyPHY43724CALIFORNIAYes

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
11548317860MEDICAIDCALIFORNIA
20501812OTHERNCPDP 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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