Kaiser Permanente Keizer Station Pharmacy

LBN: Kaiser Foundation Health Plan Of The Northwest
Kaiser Permanente Keizer Station Pharmacy is an health care organization with primary practice located at 5940 Ulali Dr Ne , Keizer OR 97303-1500. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Of The Northwest can be contacted via phone (844) 854-9364, or through Lyman, Alfred E. via phone (503) 261-7980.

Contact Information

Primary practice address
5940 Ulali Dr Ne Keizer OR 97303-1500
Phone: (844) 854-9364
Fax: (503) 304-5721
Website:
Map and Directions
Authorized official contact:
Name: Lyman, Alfred E. PHARMD., BCPS
Phone: (503) 261-7980

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X RP-0002984 Oregon

Profile Details

NPI number 1689077000
LBN Legal business name Kaiser Foundation Health Plan Of The Northwest
DBA Doing business as Kaiser Permanente Keizer Station Pharmacy
Authorized official Lyman, Alfred E. PHARMD., BCPS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2014
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689077000 NPPES
Other 3845318 NCPDP
MEDICAID 500678090 NCPDP
Other 2148106 NCPDP

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