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KAISER FOUNDATION HEALTH PLAN INC NPI 1699017582


NPI Information

NPI: 1699017582
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Other Name: KAISER PERMANENTE PHARMACY #005C

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
4900 W SUNSET BLVD STE 164
LOS ANGELES, CA
ZIP 90027
Phone: (323) 783-8719
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KAISER FOUNDATION HEALTH PLAN INC is a home infusion therapy pharmacy pharmacy in Los Angeles, CA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. KAISER FOUNDATION HEALTH PLAN INC NPI is 1699017582. The provider is registered as an organization entity type.
The provider Other Name Is Kaiser Permanente Pharmacy #005c.

The provider's business location address is:

4900 W SUNSET BLVD STE 164
LOS ANGELES, CA
ZIP 90027-814
Phone: (323) 783-8719

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 3/19/2013 and was last updated on 6/23/2023.


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
23336H0001XPharmacyHome Infusion Therapy PharmacyPHY51418CALIFORNIAYes

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
12139490OTHERPK
25646902OTHERCALIFORNIANCPDP

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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