OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1417651506 · Compounding Pharmacy · Murrieta, CA
Provider details
- NPI number
- 1417651506
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rhonda Polchak, Vp Pharmacy Operations & Svcs, Scal(562) 658-3510
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
28150 Keller Rd
Bldg 2 Fl 1 Rm 1100
Murrieta, CA 92563-2432
Phone: (951) 606-2925
Street-level locationGet directions
Mailing address
12254 Bellflower Blvd Fl 2
Downey, CA 90242-2804
Other names (DBA / former)
- Other name
- Kaiser Permanente Pharmacy #524c
Registry dates
- Enumerated
- 2023-03-30
- Last updated
- 2023-03-30
- Certified
- 2023-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.