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

NPI Status: Active since June 15, 2006

Contact Information

10180 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015
Phone: (503) 571-4222
Fax: (503) 571-4166

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  • Organization
  • Pharmacy
  • Clinic Pharmacy

About KAISER SUNNYSIDE OUTPATIENT PHARMACY

This page provides the complete NPI Profile along with additional information for Kaiser Sunnyside Outpatient Pharmacy, a provider established in Clackamas, Oregon operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1528002474 assigned on June 2006. The practitioner's primary taxonomy code is 3336C0002X with license number 00650 (OR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Kaiser Sunnyside Outpatient Pharmacy. The authorized official of this NPI record is Jim Dunscomb R.ph. (Supervisor)

NPI
1528002474
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN NORTHWEST
Other Organization Name
KAISER SUNNYSIDE OUTPATIENT PHARMACY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015
Location Phone
(503) 571-4222
Location Fax
(503) 571-4166
Mailing Address
10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015
Mailing Phone
(503) 571-4222
Mailing Fax
(503) 571-4166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2006
Last Update Date
06-01-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
License No.
00650
License State
OR
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336M0003XSuppliers

Pharmacy
Managed Care Organization Pharmacy

00650 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JIM DUNSCOMB R.PH.

Authorized Official Title
SUPERVISOR
Authorized Official Phone
(503) 571-2022

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3811848OTHER (01)ORNCPDP
6019343MEDICAID (05)WA 
136742MEDICAID (05)OR 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528002474, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 0 + 0 + 4 + 4 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1528002474.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Emergency Medicine (Emergency Medical Services)
10180 SE SUNNYSIDE RD, KAISER PERMANENTE
CLACKAMAS, OR 97015
Anesthesiology
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Emergency Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Family Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Emergency Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Anesthesiology
10180 SE SUNNYSIDE RD, SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015
Anesthesiology
10180 SE SUNNYSIDE RD, SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015
Specialist
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine (Nephrology)
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine (Pulmonary Disease)
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER - PULMONARY/CCM
CLACKAMAS, OR 97015
Nurse Practitioner (Adult Health)
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Radiology (Diagnostic Radiology)
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL OFFICE
CLACKAMAS, OR 97015
Allergy & Immunology
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Radiology (Diagnostic Radiology)
10180 SE SUNNYSIDE RD, DEPARTMENT OF RADIOLOGY
CLACKAMAS, OR 97015
Internal Medicine
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528002474, enumerated as an "organization" on June 15, 2006.

The provider is located at 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 and the phone number is (503) 571-4222.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.