KAISER FOUNDATION HEALTH PLAN INC – NPI #1003329483
Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

KAISER FOUNDATION HEALTH PLAN INC is a pharmacy located in VENTURA, CA. NPPES has assigned the NPI number 1003329483 to KAISER FOUNDATION HEALTH PLAN INC on November 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. KAISER FOUNDATION HEALTH PLAN INC is also known by the name KAISER PERMANENTE PHARMACY #889C. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

The NPI profile was previously updated about 2 years ago on Mar 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAISER FOUNDATION HEALTH PLAN INC below.

NPI Profile for
KAISER FOUNDATION HEALTH PLAN INC

NPI Number
1003329483
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAISER FOUNDATION HEALTH PLAN INC
Other Name: KAISER PERMANENTE PHARMACY #889C
Primary location
4949 MARKET ST FL 3
VENTURA, CA 93003
Phone: (888) 515-3500 Fax:
Mailing address
12254 BELLFLOWER BLVD FL 2
PHARMACY OPERATIONS
DOWNEY, CA 90242-2804
Phone: Fax:
Organization Subpart
No
Authorized Official
RHONDA POLCHAK
VP PHARMACY OPERATIONS & SVCS, SCAL
Phone: (562) 658-3510
Updated
Certification Date
Mar 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KAISER FOUNDATION HEALTH PLAN INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNCPDPCA5664835
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)
333600000X
- Pharmacy
CA PHY55922

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
4949 MARKET ST FL 3,
VENTURA, CA 77025-1669