KAISER FOUNDATION HEALTH PLAN OF WASHINGTON


Address: 11913 Ne 195th St, Bothell, WA 98011-3147
Phone: 4254893111

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (NPI# 1730213711) 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) 1730213711
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Other Organization Name NORTHSHORE PHARMACY
Practice Address 11913 Ne 195th St
Bothell
WA 98011-3147
Mailing Address Po Box 34584
Seattle
WA 98124-1584
Practice Telephone 4254893111
Practice Fax Number 4254893119
Mailing Telephone 5092417349
Mailing Fax Number 5092417628
Enumeration Date 2007-03-14
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
CF00002310 WA Suppliers
Y 333600000X Pharmacy CF00002310 WA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
WA NCPDP 4916221 01

Other Provider/Organization Names

Other Name Type Code
Northshore Pharmacy Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 11913 NE 195TH ST
City BOTHELL
State WA
Zip Code 98011-3147

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700858735 Rivka Elyse Klaff Pharmacist 11913 Ne 195th St, Bothell, WA 98011-3147 2006-02-03
1518417617 Katina A Galliano Physician Assistant 11913 Ne 195th St, Bothell, WA 98011-3147 2016-10-12
1922427855 Catherine Elaine Powell Family Medicine 11913 Ne 195th St, Bothell, WA 98011-3147 2014-04-08
1912340704 Ashley Faye Murphy Pediatrics 11913 Ne 195th St, Bothell, WA 98011-3147 2013-04-10
1609160399 Jeremy D Taylor Pharmacist 11913 Ne 195th St, Bothell, WA 98011-3147 2011-05-31
1619260924 Wendy Rychwalski Nurse Practitioner 11913 Ne 195th St, Bothell, WA 98011-3147 2011-05-19
1205127222 Kaiser Foundation Health Plan of Washington Clinic/Center 11913 Ne 195th St, Bothell, WA 98011-3147 2011-04-25
1528368420 Pragati Tikoo Internal Medicine 11913 Ne 195th St, Bothell, WA 98011-3147 2010-10-25
1851540389 Brad M Beeman Pharmacist 11913 Ne 195th St, Bothell, WA 98011-3147 2008-09-09
1497978803 Dimay Wang Pharmacist 11913 Ne 195th St, Bothell, WA 98011-3147 2007-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831714476 Giovanna Dominique Seibel Behavior Technician 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 2020-06-09
1366070880 Cristian Josue Rivera Nales Behavioral Analyst 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 2020-03-30
1205466968 Ashley Lynn Lockwood O'neil Counselor 9201 120th Ave Ne, #108, Bothell, WA 98011 2020-01-22
1508415290 Alexis Catalina Bailey Behavior Technician 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 2019-09-05
1790337194 Nw Foot and Ankle Specialists, LLC Podiatrist 12900 Ne 180th St, Ste 150, Bothell, WA 98011 2019-07-15
1154849784 Andrea Reynolds Counselor 10516 East Riverside Drive, Bothell, WA 98011 2017-09-04
1912353111 Pediatric Associates, Inc., Dba Allegro Pediatrics Pediatrics 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 2016-05-06
1699145508 Kelsie Ann Mcgladrey Physical Therapist 18504 Bethell Way Ne, Bethell, WA 98011 2015-10-05
1205217882 Isaac-gregory Hyde Robancho Massage Therapist 10024 Main Street, Suite 2 C, Bothell, WA 98011 2015-06-09
1962889154 Jennifer Zhang Colbert Dentist 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 2015-04-27
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417212911 Healthpoint Pharmacy 10414 Beardslee Blvd Ste 201, Ste 201, Bothell, WA 98011-3205 2012-07-10
1649216284 Fred Meyer Stores Inc Pharmacy 21045 Bothl Evrt Hwy, Bothell, WA 98021-8405 2006-06-21
1639436728 Maxor National Pharmacy Services LLC Pharmacy 1909 214th St Se Ste 300, Bothell, WA 98021-4418 2012-04-13
1720301203 Maxor National Pharmacy Services LLC Pharmacy 1909 214th St Se Ste 300, Bothell, WA 98021-4418 2010-03-11
1558504019 The Bartell Drug Co Pharmacy 18001 Bothell Everett Hwy, Suite 101, Bothell, WA 98012-6895 2009-04-14
1154431831 The Bartell Drug Co Pharmacy 22833 Bothell Everett Hwy, Bothell, WA 98021-9385 2006-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912515644 Allison Marie Hill Pharmacy 3 Spruce Ln, South Bend, WA 98586-9008 2020-07-20
1518504984 Petersen Investments, LLC Pharmacy 12119 Ne 99th St Ste 2030, Vancouver, WA 98682-2461 2019-12-04
1033755731 Scriptdash Inc Pharmacy 13010 Ne 20th St Ste 200, Bellevue, WA 98005-2034 2019-11-18
1063055895 Rosauers Supermarkets Inc Pharmacy 101 S. 47th Avenue, Ridgefield, WA 98642 2019-10-24
1518517101 The Bartell Drug Co Pharmacy 2506 2nd Ave, Seattle, WA 98121-1427 2019-09-16
1457904625 University of Washington Pharmacy 750 Republican St Bldg F, Seattle, WA 98109-4766 2019-07-17
1508348020 The Bartell Drug Co Pharmacy 9010 Market Pl, Lake Stevens, WA 98258-4908 2018-08-31
1144710922 Healthpoint Pharmacy 947 Powell Ave Sw Ste B, Renton, WA 98057-2975 2018-05-16
1093202087 Sixth Avenue Medical Building Pharmacy Pharmacy 508 W 6th Ave Ste 104, Spokane, WA 99204-2701 2018-04-16
1265935795 The Bartell Drug Co Pharmacy 7423 204th St Ne, Arlington, WA 98223-8204 2018-03-12
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Competitor

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City BOTHELL
Zip Code 98011

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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