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KAISER PERMANENTE LONGVIEW KELSO PHARMACY
NPI 1306893417
Pharmacy - Clinic Pharmacy in Longview, WA

Active since May 27, 2006CLIA 50D0637505 · Certificate of Compliance
1230 7TH AVE, LONGVIEW, WA 98632(360) 636-6226(360) 636-6249 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2021, Jul 19, 2018, Apr 17, 2018 and 4 more (7 updates tracked since 2016).

About Kaiser Permanente Longview Kelso Pharmacy NPPES

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

KAISER PERMANENTE LONGVIEW KELSO PHARMACY (NPI 1306893417) is a healthcare organization registered as a clinic pharmacy in Longview, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Alfred Lyman, Executive Director, Regional Pharma, as its authorized official.

NPPES Registry Identity

NPI1306893417
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address1230 7TH AVELongview, WA 98632-3166
Mailing Address5725 Ne 138th AvePortland, OR 97230-3409 · (503) 261-7980 · Fax (503) 261-7567
Phone(360) 636-6226
Fax(360) 636-6249
Organization SubpartNo
Authorized OfficialAlfred LymanExecutive Director, Regional Pharma · (800) 813-2000
Enumeration DateMay 27, 2006
Last NPPES UpdateJune 1, 20217 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1306893417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in OR · RP-0003090-CS
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedPharmacyTaxonomy 333600000X · License CF00002437 (WA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
1230 7TH AVE, Longview, WA 98632
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Other Names 1

Doing Business AsKaiser Permanente Longview Kelso Pharmacy

Other Identifiers 3

Medicaid6019384WA
Other2108297Pk
Medicaid136676OR

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0637505

Kaiser Permanente Longview · Longview, WA
Active · expires Apr 4, 2028
CLIA Number50D0637505
Laboratory TypeHealth Main. Organization
Certificate Effective DateAugust 21, 2002
Certificate Expiration DateApril 4, 2028
Laboratory DirectorReva Ricketts-Loriaux
Laboratory Phone(503) 258-6831
Laboratory LocationKaiser Permanente Longview1230 7th Ave, Longview, WA 98632
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

BRENDA BUTLER PHARMD
Pharmacist
1230 7TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 636-6226
MRS. CAROLYN JULIA O'DAY LCSW
Social Worker (Clinical)
1230 7TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 636-6235
KELLY JOHNSON
Nurse Practitioner
1230 7TH AVE
LONGVIEW, WA 98632
Cowlitz County (800) 813-2000
MR. ALBERT HUNG-PEI LUH M.D.
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 575-4801
HUGO DANIEL GONZALEZ DO
Internal Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Cowlitz County (800) 813-2000
MICHAEL ADAM KRALL MD
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 575-4801
MS. CHERYL MARIE MCGAW
Technician/Technologist (Optician)
1230 7TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 636-6238
DR. MORGAN DANEEL EVANS D.O
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Cowlitz County (800) 813-2000

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 1306893417. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Kaiser Permanente Longview Kelso Pharmacy.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 1230 7th Ave, Longview, WA 98632. The listed phone number is (360) 636-6226.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Kaiser Foundation Health Plan Of The Northwest hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0637505) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 25 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 with the weekly NPPES data releases published by CMS.