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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1215976014


NPI Information

NPI: 1215976014
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Doing Business As: KAISER PERMANENTE COMMUNITY CARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
5717 NE 138TH AVE
PORTLAND, OR
ZIP 97230
Phone: (503) 261-7927
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a long term care pharmacy pharmacy in Portland, OR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI is 1215976014. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Community Care Pharmacy.

The provider's business location address is:

5717 NE 138TH AVE
PORTLAND, OR
ZIP 97230-409
Phone: (503) 261-7927
Fax: (503) 261-2015

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 6/6/2006 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
13336L0003XPharmacyLong Term Care PharmacyRP00002128-CSOREGONYes
23336L0003XPharmacyLong Term Care PharmacyPHNR.FO.00058658WASHINGTONNo

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
16028047MEDICAIDWASHINGTON
22079265OTHERPK
3230431MEDICAIDOREGON

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: 4/28/2024

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