KAISER FOUNDATION HOSPITALS NPI 1790832020

NPI Information

  • NPI: 1790832020
  • Provider Name: KAISER FOUNDATION HOSPITALS
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Other Name: KAISER PERMANENTE PHARMACY #171
  • Address: 2295 S VINEYARD AVE
    BLDG B FL-1 RM A1013
    ONTARIO, CA
    ZIP 91761
  • Phone: (866) 699-9744

Map and Directions

Get Directions

NPI Details

KAISER FOUNDATION HOSPITALS is a compounding pharmacy pharmacy in Ontario, 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 HOSPITALS NPI is 1790832020. The provider is registered as an organization entity type.
The provider Other Name Is Kaiser Permanente Pharmacy #171.

The provider's business location address is:

2295 S VINEYARD AVE
BLDG B FL-1 RM A1013
ONTARIO, CA
ZIP 91761-925
Phone: (866) 699-9744

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY46811CALIFORNIANo
33336H0001XPharmacyHome Infusion Therapy PharmacyNo
43336C0004XPharmacyCompounding PharmacyYes

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
15613535OTHERNCPDP 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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI