Kaiser Permanente Cascade Park Pharmacy
LBN: Kaiser Foundation Health Plan Of The Northwest
Kaiser Permanente Cascade Park Pharmacy is an health care organization with primary practice located at 12607 Se Mill Plain Blvd , Vancouver WA 98684-6055. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail 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 (360) 896-4466, or through Lyman, Alfred via phone (800) 813-2000.
Contact Information
Primary practice address
12607 Se Mill Plain Blvd
Vancouver WA 98684-6055
Phone: (360) 896-4466
Fax: (360) 896-4467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | CF00003623 | Washington |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X |
Profile Details
| NPI number | 1184670739 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Of The Northwest |
| DBA Doing business as | Kaiser Permanente Cascade Park Pharmacy |
| Authorized official | Lyman, Alfred PHARMD, BCPS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jun 1st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184670739 | NPPES |
| Other | 2108627 | PK | |
| MEDICAID | 136627 | PK | |
| MEDICAID | 6019442 | PK |
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