Kaiser Foundation Health Plan Inc
Organization Active NPI Compounding Pharmacy · Baldwin Park, CA
NPI 1689059396 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1689059396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Compounding Pharmacy 3336C0004X
- License
- PHY53441 (CA)
- Legal business name
- KAISER FOUNDATION HEALTH PLAN INC
- Practice address
- 1011 Baldwin Park Blvd
FL-1, RM #1122
Baldwin Park, CA 91706-5806 - Phone
- (626) 851-6143
- NPI assigned
- Jul 23, 2015
- 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 FDN HLTH Plan Phcy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY53441 | CA | |
| Compounding Pharmacy | 3336C0004X | PHY53441 | CA | Yes |
Addresses
Primary practice location
1011 Baldwin Park Blvd
FL-1, RM #1122
Baldwin Park, CA 91706-5806
Mailing address
12254 Bellflower Blvd FL 2
Pharmacy Operations
Downey, CA 90242-2804
Other names
- Kaiser Permanente Pharmacy #551C
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 Baldwin Park, CA
- Gregory A. Jung
- Jyh C Chang MD Professional Corporation
- K and S Owl Inc
- Emily Man-Yee Kai
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Hospital - Baldwin Park
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Permanente
All providers in Baldwin Park, CA · Compounding 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 21, 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.