KAISER SUNNYSIDE OUTPATIENT PHARMACY
NPI 1528002474
Pharmacy - Clinic Pharmacy in Clackamas, OR

Q: What is Kaiser Foundation Health Plan Northwest's specialty?

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

Active since June 15, 2006

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-4222(503) 571-4166 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 1, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Kaiser Sunnyside Outpatient Pharmacy NPPES

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

KAISER SUNNYSIDE OUTPATIENT PHARMACY (NPI 1528002474) is a healthcare organization registered as a clinic pharmacy in Clackamas, Oregon and active in the NPI registry since June 2006. The organization lists Jim Dunscomb, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1528002474

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameKAISER FOUNDATION HEALTH PLAN NORTHWEST

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing Address10180 Se Sunnyside RdClackamas, OR 97015-8970 · (503) 571-4222 · Fax (503) 571-4166

Phone(503) 571-4222

Fax(503) 571-4166

Organization SubpartNo

Authorized OfficialJim DunscombSupervisor · (503) 571-2022

Enumeration DateJune 15, 2006

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1528002474 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 · 00650

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 · License 00650 (OR)

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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Other Names 1

Other NameKaiser Sunnyside Outpatient Pharmacy

Other Identifiers 3

Other3811848OR · Ncpdp

Medicaid6019343WA

Medicaid136742OR

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.

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology