OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1962568238 · Compounding Pharmacy · Fontana, CA
Provider details
- NPI number
- 1962568238
- 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
Practice location
9961 Sierra Ave
Mob 3 Basement Rm#1-B800
Fontana, CA 92335-6720
Phone: (909) 427-4941
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 #162
- Other name
- Kaiser Permanente Pharmacy #162
Registry dates
- Enumerated
- 2006-12-29
- 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.