KAISER FOUNDATION HEALTH PLAN INC (NPI# 1407266984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407266984 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #533 |
| Practice Address |
14305 Meridian Pkwy Fl 1 Riverside CA 92518-3034 |
| Mailing Address |
12254 Bellflower Blvd Fl 2 Attn: Teresa Rivera, Pharmacy Operations Downey CA 90242-2804 |
| Practice Telephone | 9513533623 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | ALAN KIYOHARA (VP PHARMACY OPERATIONS & SVCS, SCAL) |
| Authorized Official Telephone | 5626583510 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY51840 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1407266984 | 05 | |
| CA | NCPDP | 5651369 | 01 |
| PK | 2145828 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Pharmacy #533 | Doing Business As Name - Organization |
| Kaiser Permanente Pharmacy #533 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| 1942820485 | Kaiser Foundation Health Plan Inc | Pharmacy | 5300 Mcconnell Ave Fl 1, Rm 1150, Los Angeles, CA 90066-7026 | 2020-04-24 |
| 1720607112 | Kaiser Foundation Health Plan Inc | Pharmacy | 6911 Convoy Ct Fl 1 Rm 1501, San Diego, CA 92111-1014 | 2020-04-15 |
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1437618105 | Kaiser Foundation Health Plan Inc | Pharmacy | 12761 Schabarum Ave Plaza Level Rm 1100, Irwindale, CA 91706-6807 | 2019-03-13 |
| 1336607506 | Kaiser Foundation Health Plan Inc | Pharmacy | 3100 Dublin Blvd Fl 1, Dublin, CA 94568-4363 | 2019-03-06 |
| 1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | KAISER FOUNDATION HEALTH PLAN INC. | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Street Address |
14305 MERIDIAN PKWY FL 1 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92518-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603301 | William Donald | Emergency Medical Technician, Paramedic | March Air Reserve Base, Moreno Valley, CA 92518 | 2020-06-10 |
| 1861011876 | Monika Ellyn Garcia | Student in an Organized Health Care Education/Training Program | 14350 Meridian Parkway Box #2, Riverside, CA 92518 | 2020-04-09 |
| 1558906164 | Jasmine Feely | Registered Nurse | 5770 Riverside Dr Bldg 601, 752 Medical Squadron, March Arb, CA 92518 | 2019-11-07 |
| 1952957375 | April Blum | Nurse Practitioner | 14200 Meridian Parkway, # 101, Riverside, CA 92518 | 2019-08-12 |
| 1902463094 | Dale Timothy Hoang | Student in an Organized Health Care Education/Training Program | 14350-2 Meridian Pkwy, Riverside, CA 92518 | 2019-05-23 |
| 1619534716 | Karen Stacy Clarey | Student in an Organized Health Care Education/Training Program | 14350-2 Meridian Parkway, Riverside, CA 92518 | 2019-05-23 |
| 1528548070 | Holly Stevenson | Registered Nurse | 5770 Riverside Dr., Bldg 601, 752d Medical Squadron, March Arb, CA 92518 | 2018-08-15 |
| 1275058026 | James Lee Mitchener IIi | Registered Nurse | 5770 Riverside Drive, Building 601, 752 Medical Squadron, March Arb, CA 92518 | 2017-08-12 |
| 1710400239 | Dominique B. Horne | Registered Nurse | 5770 Riverside Dr. Bldg 601, 752 Medical Squadron, March Arb, CA 92518 | 2017-07-18 |
| 1891150918 | Irene Peralta | Registered Nurse | 770 Riverside Dr., Bldg 601, March Arb, CA 92518 | 2015-12-16 |
| Find all providers in zip 92518 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356839617 | Children's Mercy Hospital | Pharmacy | 700 Nw Argosy Parkway, Suite 150, Riverside, MO 64150-1512 | 2018-04-23 |
| 1912406158 | Amsam Enterprises LLC | Pharmacy | 7065 Indiana Ave Ste 310, Riverside, CA 92506-4167 | 2018-02-02 |
| 1255738829 | Cardio Vascular Plus Inc | Pharmacy | 7891 Mission Grove Pkwy S, Suite C, Riverside, CA 92508-5056 | 2014-11-26 |
| 1851716138 | Walmart Inc. | Pharmacy | 8844 Limonite Ave, Riverside, CA 92509-5021 | 2014-02-24 |
| 1295075810 | Phillips Family Pharmacy, LLC | Pharmacy | 2401 Nw Platte Rd, Riverside, MO 64150-9627 | 2013-02-19 |
| 1952647489 | Michael Edward Milad Tadros | Pharmacy | 10237 Magnolia Ave, Riverside, CA 92503-3440 | 2013-01-03 |
| 1265796106 | Abc Pharmacy | Pharmacy | 777 W Blaine St, Riverside, CA 92507-3940 | 2012-06-26 |
| 1548308539 | University of California Riverside | Pharmacy | Campus Health Center Pharmacy, Univ of Ca, Riverside, CA 92521-0001 | 2007-02-02 |
| 1033280409 | Riverside Pharmacy & Compounding | Pharmacy | 9448 Magnolia Ave, Suite B, Riverside, CA 92503 | 2006-11-10 |
| 1477576775 | Garfield Beach Cvs LLC | Pharmacy | 3520 Tyler St, Riverside, CA 92503-4175 | 2006-07-26 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.