KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST


Address: 5125 Skyline Rd S, Salem, OR 97306-9427
Phone: 8662804583

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1467491886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467491886
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other Organization Name KAISER PERMANENTE SKYLINE PHARMACY
Practice Address 5125 Skyline Rd S
Salem
OR 97306-9427
Practice Telephone 8662804583
Practice Fax Number 5035886579
Mailing Telephone 8662804583
Mailing Fax Number 5035886579
Enumeration Date 2006-06-05
Last Update Date 2018-07-19
Authorized Official Name ALFRED LYMAN (EXECUTIVE DIRECTOR, REGIONAL PHARMA)
Authorized Official Telephone 8008132000
Authorized Official Credential PHARMD, BCPS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336M0003X Pharmacy
Specialization: Managed Care Organization Pharmacy
Suppliers
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
RP0001106 OR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OR 136734 05
PK 2078435 01
WA 6019350 05

Other Provider/Organization Names

Other Name Type Code
Kaiser Permanente Skyline Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1588153076 Kaiser Foundation Health Plan of The Northwest Clinic/Center 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 2018-05-09
1992242093 Kaiser Foundation Health Plan of The Northwest Dentist 12450 Sw Walker Rd, Beaverton, OR 97005-1401 2017-01-26
1801333901 Kaiser Foundation Health Plan of The Northwest General Practice 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 2017-01-26
1790113371 Kaiser Foundation Health Plan of The Northwest Pharmacy 1230 7th Ave., Longview, WA 98682 2013-10-17
1093142234 Kaiser Foundation Health Plan of The Northwest Pharmacy 1700 Ne 102nd Ave., Portland, OR 97220 2013-10-02
1427346543 Kaiser Foundation Health Plan of The Northwest Pharmacy 5381 E Main St, Hillsboro, OR 97123-6447 2011-07-11
1215976014 Kaiser Foundation Health Plan of The Northwest Pharmacy 5717 Ne 138th Ave, Portland, OR 97230-3409 2006-06-06
1801834510 Kaiser Foundation Health Plan of The Northwest Pharmacy 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2006-06-03
1568418051 Kaiser Foundation Health Plan of The Northwest Pharmacy 7705 Se Division St, Portland, OR 97206-1059 2006-05-26
1962456194 Kaiser Foundation Health Plan of The Northwest Pharmacy 5725 Ne 138th Ave, Portland, OR 97230-3409 2006-05-20

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST One Kaiser Plaza, Oakland, CA 94612
Washington State Corporations KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST One Kaiser Plaza, Oakland, CA 94612

Office Location

Street Address 5125 SKYLINE RD S
City SALEM
State OR
Zip Code 97306-9427

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407826563 Christian A Speer Internal Medicine 5125 Skyline Rd S, Gastroenterology, Salem, OR 97306-9427 2006-01-23
1881249597 Anastasiya Makarenko Student in an Organized Health Care Education/Training Program 5125 Skyline Rd S, Salem, OR 97306-9427 2019-08-08
1174075154 Kaiser Foundation Health Plan of The Northwest General Practice 5125 Skyline Rd S, Salem, OR 97306-9427 2016-10-26
1457803587 Lilian May Pharmacist 5125 Skyline Rd S, Salem, OR 97306-9427 2016-10-24
1700336138 Darryl Johnson Pharmacist 5125 Skyline Rd S, Salem, OR 97306-9427 2016-10-10
1740739937 Marilee Neuschwander Pharmacist 5125 Skyline Rd S, Salem, OR 97306-9427 2016-09-28
1548716921 Barbara Ann Schnabel Pharmacist 5125 Skyline Rd S, Salem, OR 97306-9427 2016-08-26
1720457922 Bryan Hurliman Pharmacist 5125 Skyline Rd S, Salem, OR 97306-9427 2015-09-17
1629453527 Mary Katherine Burch Pharmacist 5125 Skyline Rd S, Salem, OR 97306-9427 2015-07-21
1366836041 Kaiser Foundation Health Plan of The Northwest Pharmacy 5125 Skyline Rd S, Salem, OR 97306-9427 2015-03-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134609050 Andrea P Merryman Dental Assistant 5135 Skyline Rd South, Salem, OR 97306 2018-08-20
1215470315 Anthony Quoc Ngo Nurse Practitioner 5050 Skyline Village Loop, Salem, OR 97306 2016-11-22
1134521305 Wendy Poling Occupational Therapy Assistant 1966 Madras St Se Apt 1082, Salem, OR 97306 2014-09-19
1659601045 Monarch Medical Group LLC Clinic/Center 5686 Commercial St Se, Suite 100, Salem, OR 97306 2010-01-06
1316188006 Judith A Mitchell Physician Assistant 4999 Skyline Rd. S., Salem, OR 97306 2009-03-10
1164685574 Leon Chira Pharmacist 2431 Concomly Rd S, Salem, OR 97306 2008-07-07
1912175035 Salem Clinic, PC General Practice 2531 Boone Road Se, Salem, OR 97306 2008-02-11
1326257486 Robert Allen Long Physical Therapist 6250 Commercial St N.e., Salem, OR 97306 2007-05-22
1922137504 Charlene Garbutt Dental Assistant 5135 Skyline Rd. S., Salem, OR 97306 2007-03-02
1417085747 Michelle West Dental Assistant 5135 Skyline R S, Salem, OR 97306 2007-02-28
Find all providers in zip 97306

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518406529 Yakima Valley Farm Workers Clinic Pharmacy 255 Lancaster Dr Ne, Salem, OR 97301-5155 2017-02-23
1609043116 Kaiser Foundation Health Plan of The Northwest Pharmacy 1160 Wallace Rd Nw, Salem, OR 97304-3116 2008-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427346543 Kaiser Foundation Health Plan of The Northwest Pharmacy 5381 E Main St, Hillsboro, OR 97123-6447 2011-07-11
1922141415 Oregon Health and Science University Pharmacy 515 Sw Campus Drive, Portland, OR 97239-3098 2007-02-14
1225190408 Credena Health LLC Pharmacy 9155 Sw Barnes Rd Ste 102, Portland, OR 97225-6625 2006-12-14
1578630463 Good Shepherd Health Care Systems Pharmacy 600 Nw 11th St Ste E04, Hermiston, OR 97838-8602 2006-11-29
1275548059 Multnomah County Oregon Pharmacy 600 Ne 8th St Fl 3, Gresham, OR 97030-7317 2006-07-30
1528073327 Multnomah County Oregon Pharmacy 619 Nw 6th Ave Fl 1, Portland, OR 97209-3964 2006-07-30
1205841004 Multnomah County Pharmacy 9000 N Lombard St Fl 2, Portland, OR 97203-3006 2006-07-30
1528073319 Multnomah County Pharmacy 5329 Ne Martin L King Fl Jrblvd2, Portland, OR 97211-3237 2006-07-30
1346263340 Oregon Health & Science University Pharmacy 3270 Sw Pavilion Loop, Suite Ppv 110, Portland, OR 97239-3011 2006-07-25
1063040186 Kaiser Foundation Health Plan of The Northwest Pharmacy 360 S Garden Way Ste 120, Eugene, OR 97401-8173 2020-04-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City SALEM
Zip Code 97306

Improve Information

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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.

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