KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1962456194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962456194 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Other Organization Name | KAISER PERMANENTE MAIL ORDER PHARMACY |
| Practice Address |
5725 Ne 138th Ave Portland OR 97230-3409 |
| Practice Telephone | 8005489809 |
| Practice Fax Number | 5037787542 |
| Mailing Telephone | 8005489809 |
| Mailing Fax Number | 5037787542 |
| Enumeration Date | 2006-05-20 |
| 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 | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
PHNR.FO.00057907 | WA | Suppliers |
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
RP-0001484-CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2078503 | 01 | |
| OR | 137203 | 05 | |
| WA | 6019475 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Mail Order 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 |
| 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 |
| 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 |
5725 NE 138TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972084911 | Steve Heath | Pharmacist | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2018-08-28 |
| 1083193379 | Cynthia Renee Smart | Pharmacist | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2018-08-08 |
| 1790262186 | Karen Denise Lordos | Pharmacist | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2018-07-27 |
| 1023551934 | Paul Chamlies Jr. | Pharmacist | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2016-11-24 |
| 1851833180 | Robert Wong Jr. | Pharmacist | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2016-11-17 |
| 1790052629 | Kaiser Foundation Health Plan of The Northwest | Health Maintenance Organization | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2011-11-21 |
| 1518249788 | Vernon Scott Jones | Pharmacist | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2011-09-14 |
| 1538453253 | Sandra Kazuko Dahl | Pharmacist | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2011-05-31 |
| 1841528924 | Katherine Rose Reese | Pharmacist | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2009-11-30 |
| 1700113966 | Vivian Nguyen | Pharmacist | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2009-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1104121938 | Columbia Pharmacy LLC | Pharmacy | 8122 Se Tibbetts St., Portland, OR 97206 | 2011-01-26 |
| 1003826694 | Coram Alternate Site Services Inc | Pharmacy | 7358 Sw Durham Rd, Portland, OR 97224-7307 | 2006-08-08 |
| 1427132265 | Providence Health & Services Oregon | Pharmacy | 6410 Ne Halsey St, Suite 400, Portland, OR 97213-4742 | 2006-10-25 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST.
| 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.