Kaiser Permanente Westside Medical Center Pharmacy

LBN: Kaiser Foundation Health Plan Of The Northwest
Kaiser Permanente Westside Medical Center Pharmacy is an health care organization with primary practice located at 2875 Nw Stucki Ave , Hillsboro OR 97124-5806. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Of The Northwest can be contacted via phone (866) 280-0511, or through Lyman, Alfred E. via phone (503) 261-7980.

Contact Information

Primary practice address
2875 Nw Stucki Ave Hillsboro OR 97124-5806
Phone: (866) 280-0511
Fax: (971) 310-3351
Website:
Map and Directions
Authorized official contact:
Name: Lyman, Alfred E. PHARMD., BCPS
Phone: (503) 261-7980

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 0002241 Oregon
Suppliers / Managed Care Organization Pharmacy 3336M0003X 0002771 Oregon

Profile Details

NPI number 1124462940
LBN Legal business name Kaiser Foundation Health Plan Of The Northwest
DBA Doing business as Kaiser Permanente Westside Medical Center Pharmacy
Authorized official Lyman, Alfred E. PHARMD., BCPS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2013
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124462940 NPPES
Other 3844708 NCPDP
Other RP-0002771-CS NCPDP
MEDICAID 2038157 NCPDP
MEDICAID 50065832 NCPDP

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