Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Colton, CA

NPI number 1164570818 Active

Practice location

789 South Cooley Drive
Colton, CA 92324

Call (866) 342-2805 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	PHY30875 (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 …

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NPI record

NPI: 1164570818
Entity type: Organization (Type 2)
Issued: Jan 8, 2007
Last updated: Jun 13, 2023
Status: Active

Other names

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Kaiser Permanente Pharmacy #163 · other name
Kaiser Permanente Pharmacy #163 · other name

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.

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About NPI 1164570818

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1164570818, issued on Jan 8, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Colton, CA. The record was last updated on Jun 13, 2023.