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KAISER PERMANENTE COMMUNITY CARE PHARMACY
NPI 1215976014
Pharmacy - Long Term Care Pharmacy in Portland, OR

Active since June 06, 2006
5717 NE 138TH AVE, PORTLAND, OR 97230(503) 261-7927(503) 261-2015 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2021, Jul 19, 2018, Apr 19, 2018 and 4 more (7 updates tracked since 2016).

About Kaiser Permanente Community Care Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER PERMANENTE COMMUNITY CARE PHARMACY (NPI 1215976014) is a healthcare organization registered as a long term care pharmacy in Portland, Oregon and active in the NPI registry since June 2006. The organization lists Alfred Lyman, Executive Director, Regional Pharma, as its authorized official.

NPPES Registry Identity

NPI1215976014
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address5717 NE 138TH AVEPortland, OR 97230-3409
Mailing Address5717 Ne 138th AvePortland, OR 97230 · (503) 261-7927 · Fax (503) 261-2015
Phone(503) 261-7927
Fax(503) 261-2015
Organization SubpartNo
Authorized OfficialAlfred LymanExecutive Director, Regional Pharma · (800) 813-2000
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 1, 20217 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1215976014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Licenses✔ Licensed in OR · RP00002128-CS✔ Licensed in WA · PHNR.FO.00058658
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
5717 NE 138TH AVE, Portland, OR 97230
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Other Names 1

Doing Business AsKaiser Permanente Community Care Pharmacy

Other Identifiers 3

Medicaid6028047WA
Other2079265Pk
Medicaid230431OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA L WOLFER RPH
Pharmacist (Pharmacotherapy)
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
MR. SCOTT WALLIS RPH
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
KELA EDVALSON RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 729-3825
MELANIE HLAVACKA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
PADMINI NAIDU RPH
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7951
DR. SCOTT KAGAWA NAKASHIMADA PHARMD
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 571-5391
MEGAN JONES PHARMD
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
DR. WENDY MICHELLE JENKINS PHARM.D.
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Of The Northwest's NPI number?

The NPI number for Kaiser Foundation Health Plan Of The Northwest is 1215976014. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Kaiser Permanente Community Care Pharmacy.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 5717 NE 138th Ave, Portland, OR 97230. The listed phone number is (503) 261-7927.

What is Kaiser Foundation Health Plan Of The Northwest's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Kaiser Foundation Health Plan Of The Northwest accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 24 other insurers list Kaiser Foundation Health Plan Of The Northwest as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of The Northwest was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.