Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Community/Retail Pharmacy · Tustin, CA

NPI number 1942630207 Active

Practice location

2521 Michelle Dr Fl 1
Tustin, CA 92780-7014

Call (855) 238-5632 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	PHY51668 (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: 1942630207
Entity type: Organization (Type 2)
Issued: Nov 22, 2013
Last updated: Jun 23, 2023
Status: Active

Other names

<unavail>
Kaiser Permanente Pharmacy #379 · doing business as
Kaiser Permanente Pharmacy #379 · doing business as

Authorized official

Rhonda Lee Polchak
VP Pharmacy Operations & Svcs, Scal
(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 1942630207

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1942630207, issued on Nov 22, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Tustin, CA. The record was last updated on Jun 23, 2023.