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KAISER PERMANENTE MT. TALBERT PHARMACY
NPI 1407893407
Pharmacy - Clinic Pharmacy in Clackamas, OR

Active since May 31, 2006
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(866) 280-1228(503) 571-2789 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2021, Jul 19, 2018, Apr 18, 2018 and 3 more (6 updates tracked since 2016).

About Kaiser Permanente Mt. Talbert Pharmacy NPPES

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

KAISER PERMANENTE MT. TALBERT PHARMACY (NPI 1407893407) is a healthcare organization registered as a clinic pharmacy in Clackamas, Oregon and active in the NPI registry since May 2006. The organization lists Alfred Lyman, Executive Director, Regional Pharma, as its authorized official.

NPPES Registry Identity

NPI1407893407
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address10100 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address10100 Se Sunnyside RdClackamas, OR 97015-8970 · (866) 280-1228 · Fax (503) 571-2789
Phone(866) 280-1228
Fax(503) 571-2789
Organization SubpartNo
Authorized OfficialAlfred LymanExecutive Director, Regional Pharma · (800) 813-2000
Enumeration DateMay 31, 2006
Last NPPES UpdateJune 1, 20216 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1407893407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in OR · RP-0001088-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 ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
10100 SE SUNNYSIDE RD, Clackamas, OR 97015
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Other Names 1

Doing Business AsKaiser Permanente Mt. Talbert Pharmacy

Other Identifiers 3

Medicaid136692OR
Other2078434Pk
Medicaid6019368WA

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.

LOREN EDWARD JENKINS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 786-8435
JENNIFER MATTSON M.D.
Internal Medicine (Cardiovascular Disease)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
HEATHER BUFFORD CRUMMETT M.D.
Obstetrics & Gynecology
10100 SE SUNNYSIDE RD, MOUNT TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
Clackamas County (503) 571-8163
MRS. TAMI RACHEL COCHRAN PTA
Physical Therapy Assistant
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 666-7736
CANDY CHAU
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (866) 280-1228
HEATHER CAREY RN
Registered Nurse (Ambulatory Care)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
ALLYSON ADAMS
Family Medicine
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
KELLY ELIZABETH JACKSON PT, DPT
Physical Therapist (Orthopedic)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 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 1407893407. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as Kaiser Permanente Mt. Talbert Pharmacy.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 10100 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (866) 280-1228.

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.

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 23 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.