Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Diamond Bar, CA

NPI number 1154598449 Active

Practice location

1336 Bridgegate Dr
Diamond Bar, CA 91765-3955

Call (866) 551-9630 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	PHY490334 (CA)

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 …

15 other providers at this address

Other community/retail pharmacy providers in Diamond Bar

See all in Diamond Bar →

NPI record

NPI: 1154598449
Entity type: Organization (Type 2)
Issued: May 15, 2008
Last updated: Jun 21, 2023
Status: Active

Other names

<unavail>
Kaiser Permanente Phmcy #554 · doing business as
Kaiser Permanente Phmcy #554 · doing business as

Authorized official

Rhonda Lee Polchak
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 1154598449

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1154598449, issued on May 15, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Diamond Bar, CA. The record was last updated on Jun 21, 2023.