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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1306893417


NPI Information

NPI: 1306893417
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Doing Business As: KAISER PERMANENTE LONGVIEW KELSO PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1230 7TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 636-6226
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a clinic pharmacy pharmacy in Longview, WA. The provider is 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 FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI is 1306893417. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Longview Kelso Pharmacy.

The provider's business location address is:

1230 7TH AVE
LONGVIEW, WA
ZIP 98632-166
Phone: (360) 636-6226
Fax: (360) 636-6249

The provider's authorized official is Alfred Lyman .
The authorized official title is Executive Director, Regional Pharma and has the following contact phone number (800) 813-2000.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 6/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyCF00002437WASHINGTONNo
23336C0002XPharmacyClinic PharmacyRP-0003090-CSOREGONYes
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336M0003XPharmacyManaged Care Organization PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16019384MEDICAIDWASHINGTON
22108297OTHERPK
3136676MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.