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 1134276454

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

1717 E Date Pl
San Bernardino, CA 92404-4428
Phone: (866) 342-2823
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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 PHY19771 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1134276454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhonda Polchak — Vp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Other names Kaiser Permanente Pharmacy
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023
Mailing address12254 Bellflower Blvd Fl 2, Pharmacy Operations, Downey, CA 90242-2804

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