Kaiser Foundation Health Plan Inc
NPI 1578805289ActiveOrganization· Pharmacy, Compounding Pharmacy· Moreno Valley, CA
Pharmacy, Compounding Pharmacy in Moreno Valley, California, registered in NPPES in March 2013. The authorized official on file is Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal.
Overview
| NPI | 1578805289 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2013 |
| Last updated in NPPES | Jun 22, 2023 |
| Certified by provider | Jun 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | PHY51290 | 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 |
|---|
Other Pharmacy, Compounding Pharmacy providers in Moreno Valley
- 1093879082
- 1932263928
All Pharmacy, Compounding Pharmacy providers in California →