OrganizationActive
Kaiser Foundation Hospitals
NPI 1790832020 · Compounding Pharmacy · Ontario, CA
Provider details
- NPI number
- 1790832020
- 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
Suppliers
- Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Practice location
2295 S Vineyard Ave
Bldg B Fl-1 Rm A1013
Ontario, CA 91761-7925
Phone: (866) 699-9744
Approximate (ZIP-level) locationGet directions
Mailing address
12254 Bellflower Blvd Fl 2
Downey, CA 90242-2804
Other names (DBA / former)
- Other name
- Kaiser Permanente Pharmacy #171
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2023-06-13
- Certified
- 2023-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.