Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Aliso Viejo, CA

NPI number 1184344178 Active

Practice location

24502 Pacific Park Dr
Aliso Viejo, CA 92656-3033

Call (866) 352-9101 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 …

16 other providers at this address

Other community/retail pharmacy providers in Aliso Viejo

See all in Aliso Viejo →

NPI record

NPI: 1184344178
Entity type: Organization (Type 2)
Issued: Aug 30, 2022
Last updated: Jul 14, 2023
Status: Active

Other names

<unavail>
Kaiser Permanente Pharmacy 390r · other name
Kaiser Permanente Pharmacy 390r · 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.

Is this your record? How to update it.

About NPI 1184344178

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1184344178, issued on Aug 30, 2022. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Aliso Viejo, CA. The record was last updated on Jul 14, 2023.