KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1366836041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366836041 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Other Organization Name | KAISER PERMANENTE SKYLINE INSTITUTIONAL PHARMACY |
| Practice Address |
5125 Skyline Rd S Salem OR 97306-9427 |
| Mailing Address |
5725 Ne 138th Ave Portland OR 97230-3409 |
| Practice Telephone | 5033154650 |
| Practice Fax Number | 5033154682 |
| Mailing Telephone | 5033154650 |
| Mailing Fax Number | 5033154682 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | ALFRED E. LYMAN JR. (EXEC. DIRECTOR PHARMACY SERVICES) |
| Authorized Official Telephone | 5032617980 |
| Authorized Official Credential | PHARMD., BCPS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500687040 | 05 | |
| OR | STATE LICENSE | RP0003050CS | 01 |
| OR | NCPDP | 3845522 | 01 |
| OR | DEA | FK5165813 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Skyline Institutional Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1992242093 | Kaiser Foundation Health Plan of The Northwest | Dentist | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2017-01-26 |
| 1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1093142234 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1700 Ne 102nd Ave., Portland, OR 97220 | 2013-10-02 |
| 1427346543 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5381 E Main St, Hillsboro, OR 97123-6447 | 2011-07-11 |
| 1215976014 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2006-06-06 |
| 1801834510 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-06-03 |
| 1568418051 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 7705 Se Division St, Portland, OR 97206-1059 | 2006-05-26 |
| 1962456194 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2006-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
5125 SKYLINE RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97306-9427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826563 | Christian A Speer | Internal Medicine | 5125 Skyline Rd S, Gastroenterology, Salem, OR 97306-9427 | 2006-01-23 |
| 1881249597 | Anastasiya Makarenko | Student in an Organized Health Care Education/Training Program | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2019-08-08 |
| 1174075154 | Kaiser Foundation Health Plan of The Northwest | General Practice | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-26 |
| 1457803587 | Lilian May | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-24 |
| 1700336138 | Darryl Johnson | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-10 |
| 1740739937 | Marilee Neuschwander | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-09-28 |
| 1548716921 | Barbara Ann Schnabel | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-08-26 |
| 1720457922 | Bryan Hurliman | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-09-17 |
| 1629453527 | Mary Katherine Burch | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-07-21 |
| 1821490707 | Corinne Tower Coldwell Larson | Speech-Language Pathologist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619520863 | Central Pharmacy (oregon Department of Corrections) | Pharmacy | 2757 22nd St Se, Salem, OR 97302-1553 | 2019-07-17 |
| 1033202759 | Salem Hospital | Pharmacy | 875 Oak St Se, Com Pharmacy, Salem, OR 97301-3975 | 2006-10-02 |
| 1275637910 | Dhs/office of Financial Services | Pharmacy | 2600 Center St Ne, Salem, OR 97301-2669 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164780532 | University Compounders LLC | Pharmacy | 9150 Sw Pioneer Ct, Wilsonville, OR 97070-9623 | 2012-04-24 |
| 1770713224 | Oregon Health & Science University | Pharmacy | 8300 Sw Creekside Pl Ste 100, Beaverton, OR 97008-8179 | 2009-07-17 |
| 1053454645 | Oregon Health and Science University | Pharmacy | 700 Sw Campus Dr Ste 7480, Portland, OR 97239-3107 | 2007-02-14 |
| 1326158585 | Malheur Drug, Inc | Pharmacy | 198 A St W, Vale, OR 97918-1302 | 2006-08-30 |
| 1497713739 | Genoa Healthcare, LLC | Pharmacy | 529 W Centennial Blvd, Springfield, OR 97477-2804 | 2006-05-03 |
| 1275922239 | Oregon State Hospital - Junction City Campus | Pharmacy | 29398 Recovery Way, Junction City, OR 97448 | 2015-01-14 |
| 1740603646 | Silverton Hospital Pharmacy | Pharmacy | 342 Fairview St, Silverton, OR 97381-1917 | 2014-01-28 |
| 1801230529 | Kaiser Foundation Hospitals | Pharmacy | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2013-04-24 |
| 1427259498 | Samaritan North Lincoln Hospital | Pharmacy | 3043 Ne 28th St, Lincoln City, OR 97367-4518 | 2007-05-29 |
| 1003027624 | Samaritan Pacific Health Services Inc | Pharmacy | 930 Sw Abbey St, Newport, OR 97365-4820 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.