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 1942630207

Kaiser Foundation Health Plan Inc is a Pharmacy in Tustin, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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

2521 Michelle Dr Fl 1
Tustin, CA 92780-7014
Phone: (855) 238-5632
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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 PHY51668 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1942630207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhonda Polchak — Vp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Other names Kaiser Permanente Pharmacy #379; Kaiser Permanente Pharmacy #379
NPI enumeratedNovember 22, 2013
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023
Mailing address12254 Bellflower Blvd Fl 2, Pharmacy Operations, Downey, CA 90242-2804

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