Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · San Diego, CA

NPI number 1720607112 Active

Practice location

6911 Convoy Ct Fl 1 Rm 1501
San Diego, CA 92111-1014

Call (866) 385-2632 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 …

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NPI record

NPI: 1720607112
Entity type: Organization (Type 2)
Issued: Apr 15, 2020
Last updated: Jun 14, 2023
Status: Active

Other names

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Kaiser Permanente Pharmacy #206r · other name
Kaiser Permanente Pharmacy #206r · 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 1720607112

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1720607112, issued on Apr 15, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Diego, CA. The record was last updated on Jun 14, 2023.