Kaiser Permanente Pharmacy #612
LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy #612 is an health care organization with primary practice located at 2620 Chester Ave Ste 305 , Bakersfield CA 93301-2015. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty.
Kaiser Foundation Health Plan Inc can be contacted via phone (661) 337-7180, or through Polchak, Rhonda Lee via phone (562) 658-3510.
Contact Information
Primary practice address
2620 Chester Ave Ste 305
Bakersfield CA 93301-2015
Phone: (661) 337-7180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | PHY51479 | California |
Profile Details
| NPI number | 1043658586 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Inc |
| DBA Doing business as | Kaiser Permanente Pharmacy #612 |
| Authorized official | Polchak, Rhonda Lee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 6th, 2013 |
| Last updated | Jun 21st, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043658586 | NPPES |
| Other | 2140677 | PK |
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