KAISER FOUNDATION HEALTH PLAN INC


Address: 43112 15th St W Rm I, Lancaster, CA 93534-6219
Phone: 6617262369

KAISER FOUNDATION HEALTH PLAN INC (NPI# 1467500249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467500249
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN INC
Other Organization Name KAISER PERMANENTE PHARMACY 278
Practice Address 43112 15th St W Rm I
Lancaster
CA 93534-6219
Mailing Address 12254 Bellflower Blvd Fl 2
Pharmacy Operations
Downey
CA 90242-2804
Practice Telephone 6617262369
Practice Fax Number 8057262385
Enumeration Date 2007-01-08
Last Update Date 2014-09-24
Authorized Official Name DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS)
Authorized Official Telephone 5626583510
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
PHY43120 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2050123 01

Other Provider/Organization Names

Other Name Type Code
KAISER PERMANENTE PHARMACY 278 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities KAISER FOUNDATION HEALTH PLAN INC. 1 Kaiser Plz, Oakland, California 94612-3610

Office Location

Street Address 43112 15TH ST W RM I
City LANCASTER
State CA
Zip Code 93534-6219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740338581 Kaiser Foundation Health Plan Inc Pharmacy 43112 15th St W Rm I, Lancaster, CA 93534-6219 2007-01-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194346098 Lori Ann Barlow Washington Counselor 921 W J Street, Lancaster, CA 93534 2020-05-01
1629698253 Gisela Regalado Paredes Surgery Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 2020-04-23
1124668470 Latonya Jean Allen Case Manager/Care Coordinator 44443 10th St. West, Lancaster, CA 93534 2020-01-14
1629629746 Korinna Fite Occupational Therapy Assistant 43860 10th St. W., Lancaster, CA 93534 2019-09-20
1114576105 Victor Nemr Hass Md Anesthesiology Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 2019-09-11
1609421007 Jaime A Mort Nurse Practitioner 43112 N 15st W, Lancaster, CA 93534 2019-08-03
1013560747 Allyson Lods Dietitian, Registered 43115 15th Street West, Lancaster, CA 93534 2019-07-22
1144884123 Nicole Breanne Palman Speech-Language Pathologist 43860 10th St. West, 1st Floor, Lancaster, CA 93534 2019-04-25
1841761475 Vanessa Gonzalez Case Manager/Care Coordinator 44226 10th St West, Lancaster, CA 93534 2018-12-07
1760969265 Marilyn Joy Pollack Physical Therapy Assistant 1306 W Avenue J Ste 2, Lancaster, CA 93534 2018-07-26
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

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.
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083026199 Rabskvi Health Inc Pharmacy 1571 Manheim Pike, Lancaster, PA 17601-3071 2014-05-22
1356657035 Bestaid Pharmacy and Medical Supply Inc Pharmacy 1600 N Bluegrove Rd Apt 10106, Lancaster, TX 75134-4103 2010-08-19
1538474754 Mobley Drugs, Inc Pharmacy 1073 W Meeting St, Lancaster, SC 29720-2205 2010-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609496215 Kaiser Foundation Hospitals Pharmacy 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 2020-04-23
1093278236 Gold Country Compounding LLC Pharmacy 11990 Heritage Oak Pl Ste 2c, Auburn, CA 95603-2405 2019-04-12
1669935177 Creative Care-rx, Inc. Pharmacy 3303 Harbor Blvd Ste C4, Costa Mesa, CA 92626-1518 2019-04-11
1396204095 Nordahl Pharmacy Corp Pharmacy 740 Nordahl Rd Ste 120, San Marcos, CA 92069-3545 2019-03-13
1104329820 Oz Med, Inc. Pharmacy 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 2018-03-09
1639688732 Cure Stat Rx Home Infusion and Specialty Pharmacy Inc Pharmacy 6725 Mesa Ridge Rd Ste 202&230, San Diego, CA 92121-2923 2017-09-21
1770010068 Onesource Compounding Pharmacy Pharmacy 104 Whispering Pines Dr Ste 105, Scotts Valley, CA 95066 2017-05-17
1326498619 Preferred Pharmacy Inc Pharmacy 3303 Harbor Blvd Ste H7, Costa Mesa, CA 92626-1523 2016-06-16
1720449267 Hot Springs Pharmacy Inc Pharmacy 13313 Palm Dr Ste A, Desert Hot Springs, CA 92240-5980 2016-03-11
1447619432 Qps Pharmacy Inc Pharmacy 18502 Beach Blvd, Suite 116, Huntington Beach, CA 92648-2019 2016-02-18
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Competitor

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City LANCASTER
Zip Code 93534

Improve Information

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Dataset Information

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.

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