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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1407803513


NPI Information

NPI: 1407803513
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Doing Business As: KAISER PERMANENTE CENTRAL INTERSTATE PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
3600 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 331-6570
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a clinic pharmacy pharmacy in Portland, OR. 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 1407803513. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Central Interstate Pharmacy.

The provider's business location address is:

3600 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227-106
Phone: (503) 331-6570
Fax: (503) 331-6575

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 5/27/2006 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
1333600000XPharmacyPHNR.FO.60658960WASHINGTONNo
23336C0002XPharmacyClinic PharmacyRP-0001284-CSOREGONYes
33336M0003XPharmacyManaged 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
16019434MEDICAIDWASHINGTON
2136635MEDICAIDOREGON
32078433OTHERPK

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

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.