Kaiser Foundation Health Plan Of The Northwest, NPI 1689077000
Clinic Pharmacy in Keizer, OR, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1689077000 |
| NPI Entity Type | Organization |
| Provider Name |
Kaiser Foundation Health Plan Of The Northwest
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 5940 Ulali Dr Ne, Keizer, OR, US |
| Provider Mailing Address | 5725 Ne 138th Ave, Portland, OR, US, 972303409 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | PHARMD., BCPS Alfred E. Lyman JR. |
| Official Position | EXEC DIRECTOR REGIONAL PHARMACY |
| Phone | 503-261-7980 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Clinic Pharmacy |
| Classification | |
| Group | |
| License No. | RP-0002984 |
| License State | OR |
| Description | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 3845318 | NCPDP | 01 | |
| 500678090 | OR | MEDICAID | 05 |
| 2148106 | PK | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| SOAP | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways | Carequality | HIE | OTHER | No | 5940 Ulali Dr NE, Keizer, OR, US |
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