| NPI | 1184670739 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-25 |
| Last Updated | 2021-06-01 |
| Authorized Official | Alfred Lyman Executive Director, Regional Pharma Phone: 8008132000 |
| Mailing Address | 5725 Ne 138th Ave Portland, OR 97230-3409 United States Phone: (503) 261-7980 | Fax: (503) 261-7565 📍 View Map |
| Primary Practice Address | 12607 Se Mill Plain Blvd Vancouver, WA 98684-6055 United States Phone: (360) 896-4466 | Fax: (360) 896-4467 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OR | 136627 | - |
| Other (non-Medicare) | - | 2108627 | PK |
| MEDICAID | WA | 6019442 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336M0003X – Pharmacy, Managed Care Organization Pharmacy | - | - |
| No | 333600000X – Pharmacy | - | - |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| Yes | 3336C0002X – Pharmacy, Clinic Pharmacy | WA | CF00003623 |
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About NPI 1184670739
Kaiser Foundation Health Plan Of The Northwest is an organization registered in the CMS NPPES NPI Registry with NPI number 1184670739. The primary specialty listed is Pharmacy, Clinic Pharmacy. The organization is located in Vancouver, WA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184670739?
NPI 1184670739 belongs to Kaiser Foundation Health Plan Of The Northwest, a Pharmacy, Clinic Pharmacy in Vancouver, WA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184670739 active?
The current status of NPI 1184670739 in the NPPES registry is Active. The record was last updated on 2021-06-01.
What specialty is NPI 1184670739?
NPI 1184670739 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 1184670739?
You can verify NPI 1184670739 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 1184670739?
The primary practice address on file for NPI 1184670739 is 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184670739 issued?
NPI 1184670739 was first issued (enumerated) on 2006-05-25. The NPPES record was last updated on 2021-06-01.
Practice Location Map
Kaiser Foundation Health Plan Of The Northwest is located at 12607 Se Mill Plain Blvd, Vancouver, WA. 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 1184670739. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Clinic Pharmacy | CF00003623 | WA |