Kaiser Foundation Health Plan Inc
NPI 1366679557ActiveOrganization· Pharmacy, Compounding Pharmacy· Fontana, CA
Pharmacy, Compounding Pharmacy in Fontana, California, registered in NPPES in June 2009. The authorized official on file is Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal.
Overview
| NPI | 1366679557 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2009 |
| Last updated in NPPES | Jul 5, 2023 |
| Certified by provider | Jul 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | PHY48689 | CA |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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