Kaiser Foundation Hospitals
Organization Active NPI Institutional Pharmacy · Los Angeles, CA
NPI 1386791614 · NPPES record last updated Jun 1, 2023
Key facts
- NPI
- 1386791614
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Institutional Pharmacy 3336I0012X
- License
- HSP35675 (CA)
- Legal business name
- KAISER FOUNDATION HOSPITALS
- Practice address
- 765 W College St
Los Angeles, CA 90012-1181 - Phone
- (213) 580-7350
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Rhonda Lee Polchak
- Title
- VP Pharmacy Operations & SVCS, Scal
- Phone
- (562) 658-3510
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Kaiser Foundation
Locations
765 W College St
Los Angeles, CA 90012
Phone (213) 580-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Institutional Pharmacy | 3336I0012X | HSP35675 | CA | Yes |
Addresses
Primary practice location
765 W College St
Los Angeles, CA 90012-1181
Mailing address
12254 Bellflower Blvd FL 2
Pharmacy Operations
Downey, CA 90242-2804
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0565727 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 1386791614 | Medicaid | CA |
Other names
- KAISER FOUNDATION HOSPITAL PHARMACY 955
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) |
Other providers in Los Angeles, CA
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
All providers in Los Angeles, CA · Institutional Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.