Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Hesperia, CA

NPI number 1023615150 Active

Practice location

9550 Escondido Ave Fl 1, Rm 1100
Hesperia, CA 92345-9120

Call (855) 873-7779 Map

Mailing address

12254 Bellflower Blvd Fl 2, Pharmacy Operations
Downey, CA 90242-2804

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: 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 …

Other community/retail pharmacy providers in Hesperia

See all in Hesperia →

NPI record

NPI: 1023615150
Entity type: Organization (Type 2)
Issued: Oct 1, 2020
Last updated: Oct 1, 2020
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan Inc

Other names

Kaiser Permanente Pharmacy #775 · other name

Authorized official

Alan Kiyohara
VP Pharmacy Operations & Svcs, Scal
(562) 658-3510

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1023615150

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1023615150, issued on Oct 1, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Hesperia, CA. The record was last updated on Oct 1, 2020.