KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (NPI# 1477687069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477687069 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| Other Organization Name | FACTORIA PHARMACY |
| Practice Address |
11511 Ne 10th St Bellevue WA 98004 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 4255023000 |
| Practice Fax Number | 4255023811 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | KATHY BEERY (DIRECTOR) |
| Authorized Official Telephone | 2066301818 |
| Is Organization Subpart | Y |
| Parent Organization Name | GROUP HEALTH COOPERATIVE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
CF00003275 | WA | Suppliers |
| Y | 333600000X | Pharmacy | CF00003275 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NCPDP | 4918922 | 01 |
| Other Name | Type Code |
|---|---|
| Factoria Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1891350377 | Kaiser Foundation Health Plan of Washington | Family Medicine | 210 9th Ave N, Seattle, WA 98109-5120 | 2019-05-09 |
| 1942591532 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 5821 S Sprague Court, Tacoma, WA 98409 | 2011-04-29 |
| 1124264577 | Kaiser Foundation Health Plan of Washington | Family Medicine | 2715 Naches Ave Sw, Gsw-a1n-02, Renton, WA 98057-2627 | 2009-01-06 |
| 1235263245 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1420 5th Ave., Suite 375, Seattle, WA 98101 | 2007-03-15 |
| 1891829644 | Kaiser Foundation Health Plan of Washington | Pharmacy | 700 N Lilly Road, Olympia, WA 98056-5196 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 601 Union St #3100, Seattle, WA 98101 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 601 Union St, Ste 3100, Seattle, WA 98101-2341 |
| Street Address |
11511 NE 10TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811353 | Nicola Ullery | Registered Nurse | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2005-12-13 |
| 1083236400 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2020-05-07 |
| 1770142143 | Adrienne M Anderson | Social Worker | 11511 Ne 10th St, Bellevue, WA 98004 | 2019-06-10 |
| 1992360929 | Anthony Decicco | Pharmacist | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2019-05-06 |
| 1184182677 | Eva Linh | Pharmacist | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2019-03-04 |
| 1801367818 | Jue Wang | Nurse Practitioner | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-12-17 |
| 1508331331 | Daniel Edward Putlak | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-10-08 |
| 1336628486 | Bradley Allen Johnson | Nurse Anesthetist, Certified Registered | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-08-09 |
| 1982182275 | Madeline Anne Berry | Social Worker | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-07-30 |
| 1053802074 | Mixayphone Bounvilay | Advanced Practice Midwife | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033755731 | Scriptdash Inc | Pharmacy | 13010 Ne 20th St Ste 200, Bellevue, WA 98005-2034 | 2019-11-18 |
| 1386962298 | The Bartell Drug Co | Pharmacy | 11919 Ne 8th St, Bellevue, WA 98005-3023 | 2010-05-17 |
| 1194043018 | The Bartell Drug Co | Pharmacy | 3620 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2010-05-17 |
| 1134252976 | Thu-thao Thi Le | Pharmacy | 120 106th Ave Ne, Bellevue, WA 98004-5910 | 2007-03-13 |
| 1588707996 | No Frills Pharmacy LLC | Pharmacy | 909 Fort Crook Rd N, Bellevue, NE 68005-4335 | 2007-02-15 |
| 1164568788 | Newport Hills Drug Inc. | Pharmacy | 5620 119th Ave Se, Bellevue, WA 98006-3738 | 2007-01-30 |
| 1518035310 | Lzk Inc | Pharmacy | 612 Lincoln Ave, Bellevue, PA 15202-3406 | 2006-12-01 |
| 1750396107 | Counsel Rx Inc. | Pharmacy | 234 W Main St, Bellevue, OH 44811-1330 | 2006-07-31 |
| 1285649889 | Bhms Inc | Pharmacy | 234 W Main St Ste B, Bellevue, OH 44811-1330 | 2006-07-30 |
| 1407871049 | Fred Meyer Stores Inc | Pharmacy | 2636 Bellevue Way Ne, Bellevue, WA 98004 | 2006-07-13 |
| Find all providers in BELLEVUE | ||||
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| 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.