| NPI | 1407893407 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-31 |
| Last Updated | 2021-06-01 |
| Authorized Official | Alfred Lyman Executive Director, Regional Pharma Phone: 8008132000 |
| Mailing Address | 10100 Se Sunnyside Rd Clackamas, OR 97015-8970 United States Phone: (866) 280-1228 | Fax: (503) 571-2789 📍 View Map |
| Primary Practice Address | 10100 Se Sunnyside Rd Clackamas, OR 97015-8970 United States Phone: (866) 280-1228 | Fax: (503) 571-2789 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OR | 136692 | - |
| Other (non-Medicare) | - | 2078434 | PK |
| MEDICAID | WA | 6019368 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336M0003X – Pharmacy, Managed Care Organization Pharmacy | - | - |
| Yes | 3336C0002X – Pharmacy, Clinic Pharmacy | OR | RP-0001088-CS |
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About NPI 1407893407
Kaiser Foundation Health Plan Of The Northwest is an organization registered in the CMS NPPES NPI Registry with NPI number 1407893407. The primary specialty listed is Pharmacy, Clinic Pharmacy. The organization is located in Clackamas, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407893407?
NPI 1407893407 belongs to Kaiser Foundation Health Plan Of The Northwest, a Pharmacy, Clinic Pharmacy in Clackamas, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407893407 active?
The current status of NPI 1407893407 in the NPPES registry is Active. The record was last updated on 2021-06-01.
What specialty is NPI 1407893407?
NPI 1407893407 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 1407893407?
You can verify NPI 1407893407 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 1407893407?
The primary practice address on file for NPI 1407893407 is 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407893407 issued?
NPI 1407893407 was first issued (enumerated) on 2006-05-31. The NPPES record was last updated on 2021-06-01.
Practice Location Map
Kaiser Foundation Health Plan Of The Northwest is located at 10100 Se Sunnyside Rd, Clackamas, 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 1407893407. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Clinic Pharmacy | RP-0001088-CS | OR |