| NPI | 1124462940 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2013-04-23 |
| Last Updated | 2023-03-07 |
| Authorized Official | Alfred Lyman Exec. Director Pharmacy Services Phone: 5032617980 |
| Mailing Address | 5725 Ne 138th Ave Portland, OR 97230-3409 United States Phone: (866) 280-0511 | Fax: (971) 310-3351 📍 View Map |
| Primary Practice Address | 2875 Nw Stucki Ave Hillsboro, OR 97124-5806 United States Phone: (866) 280-0511 | Fax: (971) 310-3351 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WA | 2038157 | — |
| Other (non-Medicare) | — | 3844708 | NCPDP |
| MEDICAID | OR | 50065832 | — |
| Other (non-Medicare) | OR | RP-0002771-CS | BOP License |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336M0003X – Pharmacy, Managed Care Organization Pharmacy | OR | 0002771 |
| Yes | 3336C0002X – Pharmacy, Clinic Pharmacy | OR | 0002241 |
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About NPI 1124462940
Kaiser Foundation Health Plan Of The Northwest is an organization registered in the CMS NPPES NPI Registry with NPI number 1124462940. The primary specialty listed is Pharmacy, Clinic Pharmacy. The organization is located in Hillsboro, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-04-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124462940?
NPI 1124462940 belongs to Kaiser Foundation Health Plan Of The Northwest, a Pharmacy, Clinic Pharmacy in Hillsboro, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124462940 active?
The current status of NPI 1124462940 in the NPPES registry is Active. The record was last updated on 2023-03-07.
What specialty is NPI 1124462940?
NPI 1124462940 is classified under the taxonomy Pharmacy, Clinic Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124462940?
You can verify NPI 1124462940 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124462940?
The primary practice address on file for NPI 1124462940 is 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124462940 issued?
NPI 1124462940 was first issued (enumerated) on 2013-04-23. The NPPES record was last updated on 2023-03-07.
Practice Location Map
Kaiser Foundation Health Plan Of The Northwest is located at 2875 Nw Stucki Ave, Hillsboro, OR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kaiser Foundation Health Plan Of The Northwest. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124462940. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Managed Care Organization Pharmacy | 0002771 | OR |
| Pharmacy, Clinic Pharmacy | 0002241 | OR |