| NPI | 1124460191 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2013-07-19 |
| Last Updated | 2023-06-02 |
| Authorized Official | Rhonda Polchak VP Pharmacy Operations & Svcs, SCAL Phone: 5626583510 |
| Mailing Address | 12254 Bellflower Blvd Fl 2, Pharmacy Operations Downey, CA 90242-2804 United States 📍 View Map |
| Primary Practice Address | 5250 Lankershim Blvd Fl 9 North Hollywood, CA 91601-3186 United States Phone: (855) 777-8073 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 1124460191 | — |
| Other (non-Medicare) | — | 2141494 | PK |
| Other (non-Medicare) | CA | 5648463 | NCPDP |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | CA | PHY 51530 |
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About NPI 1124460191
Kaiser Foundation Health Plan Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124460191. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in North Hollywood, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-07-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124460191?
NPI 1124460191 belongs to Kaiser Foundation Health Plan Inc, a Pharmacy, Community/Retail Pharmacy in North Hollywood, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124460191 active?
The current status of NPI 1124460191 in the NPPES registry is Active. The record was last updated on 2023-06-02.
What specialty is NPI 1124460191?
NPI 1124460191 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124460191?
You can verify NPI 1124460191 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124460191?
The primary practice address on file for NPI 1124460191 is 5250 Lankershim Blvd Fl 9, North Hollywood, CA 91601-3186. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124460191 issued?
NPI 1124460191 was first issued (enumerated) on 2013-07-19. The NPPES record was last updated on 2023-06-02.
Practice Location Map
Kaiser Foundation Health Plan Inc is located at 5250 Lankershim Blvd Fl 9, North Hollywood, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kaiser Foundation Health Plan Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124460191. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PHY 51530 | CA |