Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Compounding Pharmacy · Irvine, CA

NPI number 1447639745 Active

Practice location

6650 Alton Pkwy, Bldg 2 Fl 4 Rm 4262
Irvine, CA 92618-3734

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	PHY53420 (CA)
Compounding Pharmacy Primary	3336C0004X	PHY53420 (CA)

Compounding Pharmacy: 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 compoun…

34 other providers at this address

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NPI record

NPI: 1447639745
Entity type: Organization (Type 2)
Issued: May 20, 2015
Last updated: May 20, 2015
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan Inc

Other names

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Kaiser Permanente Pharmacy #374c · other name

Authorized official

David Kvancz
VP Nat'l Phrmcy Prog & SVCS
(562) 658-3510

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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 1447639745

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1447639745, issued on May 20, 2015. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Irvine, CA. The record was last updated on May 20, 2015.