KAISER PERMANENTE KEIZER STATION PHARMACY – NPI #1689077000
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 KEIZER STATION PHARMACY is a pharmacy located in KEIZER, OR. NPPES has assigned the NPI number 1689077000 to KAISER PERMANENTE KEIZER STATION PHARMACY on September 30, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KAISER PERMANENTE KEIZER STATION 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 KEIZER STATION PHARMACY below.

NPI Profile for
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

NPI Number
1689077000
Enumeration Date

(more than 11 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 KEIZER STATION PHARMACY
Primary location
5940 ULALI DR NE
KEIZER, OR 97303-1500
Phone: (844) 854-9364 Fax: (503) 304-5721
Mailing address
5725 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone: (844) 854-9346 Fax: (503) 304-5721
Organization Subpart
No
Authorized Official
ALFRED LYMAN
EXEC DIRECTOR REGIONAL PHARMACY
Phone: (503) 261-7980
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 KEIZER STATION 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
OTHERNCPDP3845318
OTHERPK2148106
MEDICAIDOR500678090
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-0002984
333600000X
- 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
5940 ULALI DR NE,
KEIZER, OR 77025-1669