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

Kaiser Foundation Health Plan Inc

Organization Pharmacy · NPI 1093863821

Kaiser Foundation Health Plan Inc is a Pharmacy in San Diego, 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

4405 Vandever Ave Fl 1
San Diego, CA 92120-3315
Phone: (866) 451-4942
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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 PHY46253 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1093863821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhonda Polchak — Vp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Other names Kaiser Permanente Pharmacy #217
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address12254 Bellflower Blvd Fl 2, Pharmacy Operations, Downey, CA 90242-2804

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