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Kaiser Foundation Health Plan Inc

NPI 1407912777ActiveOrganization· Pharmacy, Compounding Pharmacy· San Marcos, CA

Pharmacy, Compounding Pharmacy in San Marcos, California, registered in NPPES in December 2006. The authorized official on file is Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal.

Overview

NPI1407912777
StatusActive
Entity typeOrganization
NPI issuedDec 29, 2006
Last updated in NPPESJun 15, 2023
Certified by providerJun 15, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Compounding Pharmacy Primary3336C0004XPHY48262CA
Pharmacy333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years