KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1801834510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801834510 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Other Organization Name | KAISER PERMANENTE NORTH LANCASTER PHARMACY |
| Practice Address |
2400 Lancaster Dr Ne Salem OR 97305-1221 |
| Practice Telephone | 8662801563 |
| Practice Fax Number | 5033755730 |
| Mailing Telephone | 8662801563 |
| Mailing Fax Number | 5033755730 |
| Enumeration Date | 2006-06-03 |
| 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 |
| 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 |
RP-0000757-CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 136718 | 05 | |
| PK | 2078430 | 01 | |
| WA | 6019491 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente North Lancaster Pharmacy | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1629699863 | Kaiser Foundation Health Plan of The Northwest | Dentist | 9300 Se 91st Ave Ste 310, Happy Valley, OR 97086-3762 | 2020-04-28 |
| 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 |
| Street Address |
2400 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629608070 | Lisa Renea Carr | Dental Assistant | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2020-01-23 |
| 1316594989 | Marisa Hopkins | Social Worker | 2400 Lancaster Dr Ne, Salem, OR 97305-1297 | 2019-08-19 |
| 1346715836 | Stephen Kuang | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1297 | 2018-10-10 |
| 1679003313 | Christina Nguyen | Optometrist | 2400 Lancaster Dr Ne, Salem, OR 97305 | 2017-06-15 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1518419464 | Kaiser Foundation Health Plan of The Northwest | General Practice | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-10-26 |
| 1083166029 | Alison J Green | Nurse Practitioner | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-10-25 |
| 1588119515 | Eloisa Chaudhary | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-08-19 |
| 1598117269 | Nathan Howell | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-07-06 |
| 1972973253 | Tyron James Sinn | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| 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] |
| 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 |
| 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 | ||||
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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.