KAISER FOUNDATION HOSPITALS NPI 1104070242

NPI Information

  • NPI: 1104070242
  • Provider Name: KAISER FOUNDATION HOSPITALS
  • Classification: Pharmacy - 3336I0012X
  • Specialization: Institutional Pharmacy
  • Entity Type: Organization
  • Other Name: KAISER FOUND HOSPITAL PHRMCY #529
  • CLIA Number: 05D0573874
  • Address: 27300 IRIS AVE
    MORENO VALLEY, CA
    ZIP 92555
  • Phone: (951) 243-2162

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NPI Details

KAISER FOUNDATION HOSPITALS is an institutional pharmacy pharmacy in Moreno Valley, CA. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 HOSPITALS NPI is 1104070242. The provider is registered as an organization entity type.
The provider Other Name Is Kaiser Found Hospital Phrmcy #529.

The provider's business location address is:

27300 IRIS AVE
MORENO VALLEY, CA
ZIP 92555-802
Phone: (951) 243-2162

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 CLIA number assigned to this NPI record is 05D0573874 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 6/1/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336I0012XPharmacyInstitutional PharmacyHSP49011CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15640479OTHERNCPDP 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: 3/30/2025

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