KAISER FOUNDATION HEALTH PLAN NORTHWEST NPI 1568418069

NPI Information

  • NPI: 1568418069
  • Provider Name: KAISER FOUNDATION HEALTH PLAN NORTHWEST
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Other Name: KAISER FISHER'S LANDING PHARMACY
  • Address: 16703 SE MCGILLIVRAY BLVD
    VANCOUVER, WA
    ZIP 98683
  • Phone: (360) 735-5645

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NPI Details

KAISER FOUNDATION HEALTH PLAN NORTHWEST is a clinic pharmacy pharmacy in Vancouver, 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 NORTHWEST NPI is 1568418069. The provider is registered as an organization entity type.
The provider Other Name Is Kaiser Fisher's Landing Pharmacy.

The provider's business location address is:

16703 SE MCGILLIVRAY BLVD
VANCOUVER, WA
ZIP 98683-300
Phone: (360) 735-5645
Fax: (360) 735-5646

The provider's authorized official is Joyce Humphrey .
The authorized official title is Supervisor and has the following contact phone number (360) 735-5274.

The enumeration date for this NPI number is 5/26/2006 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
13336C0002XPharmacyClinic Pharmacy05462WASHINGTONYes
23336M0003XPharmacyManaged Care Organization Pharmacy05462WASHINGTONNo

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
1138151MEDICAIDOREGON
24925383OTHERWASHINGTONNCPDP
36019483MEDICAIDWASHINGTON

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: 3/30/2025

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