KAISER FOUNDATION HOSPITALS NPI 1790832020

NPI Information

NPI: 1790832020
Provider Name: KAISER FOUNDATION HOSPITALS

Doing Business As: KAISER PERMANENTE PHARMACY #171

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

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

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 Is Doing Business As 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 Alan Kiyohara .
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 5/5/2021.

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
1	333600000X	Pharmacy				No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHY46811	CALIFORNIA	No
3	3336C0004X	Pharmacy	Compounding Pharmacy			Yes
4	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy			No

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
1	5613535	OTHER		NCPDP 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: 11/14/2023

NPI Synchronization or Removal

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