Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaiser Foundation Health Plan Inc

Organization Pharmacy · NPI 1063569390

Kaiser Foundation Health Plan Inc is a Pharmacy in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10850 Arrow Rte
Rancho Cucamonga, CA 91730-4833
Phone: (866) 342-2822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY43772 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1063569390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhonda Polchak — Vp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Other names Kaiser Permanente Pharmacy No 179
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address12254 Bellflower Blvd Fl 2, Pharmacy Operations, Downey, CA 90242-2804

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