KAISER PERMANENTE GATEWAY PHARMACY – NPI #1093142234
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.

KAISER PERMANENTE GATEWAY PHARMACY is a pharmacy located in PORTLAND, OR. NPPES has assigned the NPI number 1093142234 to KAISER PERMANENTE GATEWAY PHARMACY on October 02, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KAISER PERMANENTE GATEWAY PHARMACY” is a dba name, the actual legal business name for this organization is KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

The NPI profile was previously updated about 5 years ago on Jun 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAISER PERMANENTE GATEWAY PHARMACY below.

NPI Profile for
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

NPI Number
1093142234
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Doing Business As (dba): KAISER PERMANENTE GATEWAY PHARMACY
Primary location
1700 NE 102ND AVE.
PORTLAND, OR 97220
Phone: (866) 279-4581 Fax: (971) 229-6861
Mailing address
5725 NE 138TH AVE.
PORTLAND, OR 97230-3409
Phone: (503) 261-2166 Fax: (503) 261-2166
Organization Subpart
No
Authorized Official
STEVE LOGAN
EXEC. DIRECTOR, PHARMACY SERVICES
Phone: (503) 261-7566
Updated
Certification Date
Jun 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KAISER PERMANENTE GATEWAY PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBOP LICENSEORRP-0002839-CS
MEDICAIDOR500664821
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)
OR RP-0002839-CS
3336M0003X
- Pharmacy / Managed Care Organization Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
1700 NE 102ND AVE.,
PORTLAND, OR 77025-1669