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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1184670739


NPI Information

NPI: 1184670739
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Doing Business As: KAISER PERMANENTE CASCADE PARK PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
12607 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684
Phone: (360) 896-4466
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a clinic pharmacy pharmacy in Vancouver, WA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI is 1184670739. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Cascade Park Pharmacy.

The provider's business location address is:

12607 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684-055
Phone: (360) 896-4466
Fax: (360) 896-4467

The provider's authorized official is Alfred Lyman .
The authorized official title is Executive Director, Regional Pharma and has the following contact phone number (800) 813-2000.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 6/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyCF00003623WASHINGTONYes
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336M0003XPharmacyManaged Care Organization PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16019442MEDICAIDWASHINGTON
22108627OTHERPK
3136627MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.