Kaiser Permanente Interstate South Pharmacy is not a DME supplier for medicare equipments and products.
Kaiser Permanente Interstate South Pharmacy is a Clinic Pharmacy in Portland, Oregon. This pharmacy is owned and operated by Kaiser Foundation Health Plan Of The Northwest. It is located at 3500 N Interstate Ave, Portland and it's customer support contact number is 503-331-6186. The authorized person of Kaiser Permanente Interstate South Pharmacy is Alfred Lyman, PHARMD, BCPS who is Executive Director, Regional Pharma of the pharmacy and his contact number is 800-813-2000. Active license number of Kaiser Permanente Interstate South Pharmacy is RP-0001643-CS for Clinic Pharmacy in Oregon. Kaiser Permanente Interstate South Pharmacy is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Kaiser Permanente Interstate South Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Kaiser Permanente Interstate South Pharmacy
Type:
Clinic Pharmacy
Location:
3500 N Interstate Ave, Portland, Oregon, 97227-1196
Phone:
503-331-6186
Fax:
503-331-6187
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Alfred Lyman
Credentials:
PHARMD, BCPS
Position:
Executive Director, Regional Pharma
Contact Number:
800-813-2000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1730108168
NPI Enumeration Date:
18 Jul, 2006
NPI Last Update On:
01 Jun, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kaiser Permanente Interstate South Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Clinic Pharmacy
RP-0001643-CS
Oregon
Primary
Pharmacy
PHNR.FO.60572833
Washington
Secondary
Compounding Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500622283
Medicaid
Oregon
6029821
Medicaid
Washington
2078923
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5725 Ne 138th Ave, Portland, Oregon
Zip:
97230-3409
Phone Number:
503-261-7980
Fax Number:
503-261-7567
Patients can reach Kaiser Permanente Interstate South Pharmacy at 3500 N Interstate Ave, Portland, Oregon or can call on customer care at 503-331-6186.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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