Kaiser Foundation Health Plan Inc
Pharmacy (Compounding Pharmacy)

Address: 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507
Phone: 8772360333

Kaiser Foundation Health Plan Inc (NPI# 1114528940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1114528940
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN INC
Practice Address 4647 Zion Ave Fl4
Rm 4825
San Diego
CA 92120-2507
Practice Telephone 8772360333
Mailing Address 12254 Bellflower Blvd Fl 2
Pharmacy Operations
Downey
CA 90242-2804
Authorized Official Name Alan Kiyohara (VP PHARMACY OPERATIONS & SVCS, SCAL)
Authorized Official Telephone 5626583510
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-06
Last Update Date 2020-11-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 333600000X Pharmacy Suppliers
Yes 3336C0004X Pharmacy · Compounding Pharmacy Suppliers

Other Provider/Organization Names

Other Name Type Code
Kaiser Zion Oncology Pharmacy #202C Other Name - Individual/Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1023615150 Kaiser Foundation Health Plan Inc Pharmacy 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 2020-10-01
1881204907 Kaiser Foundation Health Plan Inc Pharmacy 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 2020-08-04
1942820485 Kaiser Foundation Health Plan Inc Pharmacy 5300 Mcconnell Ave Fl 1, Rm 1150, Los Angeles, CA 90066-7026 2020-04-24
1720607112 Kaiser Foundation Health Plan Inc Pharmacy 6911 Convoy Ct Fl 1 Rm 1501, San Diego, CA 92111-1014 2020-04-15
1588217236 Kaiser Foundation Health Plan Inc Pharmacy 1021 Riverside Ave, Roseville, CA 95678 2019-07-22
1437618105 Kaiser Foundation Health Plan Inc Pharmacy 12761 Schabarum Ave Plaza Level Rm 1100, Irwindale, CA 91706-6807 2019-03-13
1336607506 Kaiser Foundation Health Plan Inc Pharmacy 3100 Dublin Blvd Fl 1, Dublin, CA 94568-4363 2019-03-06
1073085007 Kaiser Foundation Health Plan Inc Pharmacy 615 W Avenue L Trailer, Lancaster, CA 93534-7211 2019-01-02
1558837831 Kaiser Foundation Health Plan Inc Pharmacy 250 E Hacienda Ave, Campbell, CA 95008-6617 2018-10-15
1801383443 Kaiser Foundation Health Plan Inc Pharmacy 501 J St Fl 6, Sacramento, CA 95814-2325 2018-04-19
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639688732 Cure Stat Rx Home Infusion and Specialty Pharmacy Inc Pharmacy 6725 Mesa Ridge Rd Ste 202&230, San Diego, CA 92121-2923 2017-09-21
1205008299 Snp Pharmacy LLC Pharmacy 9920 Scripps Lake Dr, Ste 108, San Diego, CA 92131-1080 2008-03-31
1659436079 Mikmara Inc Pharmacy 1141 6th Ave, San Diego, CA 92101-5203 2006-12-26
1841395761 Mission Pharmacy & Compounding, Ltd Pharmacy 6020 Santo Rd, Suite B, San Diego, CA 92124-1195 2006-09-14
1306854385 St Marys Pharmacies Inc Pharmacy 610 Gateway Center Way, Ste A, San Diego, CA 92102-4533 2006-08-04
1609437409 Remedy Holistic Pharmacy LLC Pharmacy 320 W Cedar St Ste 103, San Diego, CA 92101-2908 2019-06-24
1891228367 Alvarado Pharmacy Services, Inc Pharmacy 5555 Reservoir Dr Ste 114, San Diego, CA 92120-5197 2017-04-11
1902268220 Guardian Pharmacy of Southern California LLC Pharmacy 10140 Barnes Canyon Rd, San Diego, CA 92121-2724 2016-03-25
1841685971 Fblt Management LLC Pharmacy 5755 Oberlin Dr Ste 301, San Diego, CA 92121-4717 2015-04-06
1275954224 Irx Pharmacy South Inc. Pharmacy 12750 Carmel Country Rd, Ste A101, San Diego, CA 92130-2159 2013-12-18
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Office Location

Street Address 4647 ZION AVE FL4
RM 4825
City SAN DIEGO
State CA
Zip Code 92120-2507

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavior Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. Clinic/Center 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding Nurse Practitioner 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-ellis Social Worker 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1184049215 Charles Yin Counselor 6153 Fairmount Ave Suite #260, San Diego, CA 92120 2014-02-26
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Competitor

Search similar providers

City SAN DIEGO
Zip Code 92120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.