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KAISER PERMANENTE INTERSTATE SOUTH PHARMACY
NPI 1730108168
Pharmacy - Clinic Pharmacy in Portland, OR

Active since July 18, 2006
3500 N INTERSTATE AVE, PORTLAND, OR 97227(503) 331-6186(503) 331-6187 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 1, 2021, Jul 19, 2018, Apr 18, 2018 and 4 more (7 updates tracked since 2016).

About Kaiser Permanente Interstate South Pharmacy NPPES

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

KAISER PERMANENTE INTERSTATE SOUTH PHARMACY (NPI 1730108168) is a healthcare organization registered as a clinic pharmacy in Portland, Oregon and active in the NPI registry since July 2006. The organization lists Alfred Lyman, Executive Director, Regional Pharma, as its authorized official.

NPPES Registry Identity

NPI1730108168
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address3500 N INTERSTATE AVEPortland, OR 97227-1196
Mailing Address5725 Ne 138th AvePortland, OR 97230-3409 · (503) 261-7980 · Fax (503) 261-7567
Phone(503) 331-6186
Fax(503) 331-6187
Organization SubpartNo
Authorized OfficialAlfred LymanExecutive Director, Regional Pharma · (800) 813-2000
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 1, 20217 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1730108168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in OR · RP-0001643-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 PHNR.FO.60572833 (WA)
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
3500 N INTERSTATE AVE, Portland, OR 97227
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Other Names 1

Doing Business AsKaiser Permanente Interstate South Pharmacy

Other Identifiers 3

Medicaid500622283OR
Other2078923Pk
Medicaid6029821WA

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.

GREGORY J DAVENPORT PA-C
Physician Assistant
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6101
SCOTT LUCAS M.D.
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 285-9321
DR. ROBERT SPEIRS III M.D.
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 285-9321
FRANK JAMES MCKOWNE M.D.
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 285-9321
DR. BRIAN J GEHRING MD
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 285-9321
DR. MICHAEL ANTHONY SIEGEL M.D.
Radiology (Diagnostic Radiology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (502) 285-9321
MRS. ALICIA D SHEPROW PA
Physician Assistant
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6101
DR. WILLIAM LEE MELCHER M.D.
Internal Medicine (Rheumatology)
3500 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6492

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 1730108168. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Kaiser Permanente Interstate South Pharmacy.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 3500 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 331-6186.

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 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 with the weekly NPPES data releases published by CMS.