KAISER PERMANENTE WEST SALEM PHARMACY
NPI 1609043116
Pharmacy - Managed Care Organization Pharmacy in Salem, OR
NPI Status: Active since May 14, 2008
Contact Information
1160 WALLACE RD NW
SALEM, OR
ZIP 97304
Phone: (866) 525-0583
Fax: (503) 318-4038
- Organization
- Pharmacy
- Managed Care Organization Pharmacy
- CLIA Number: 38D1084667
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-11-2027
About KAISER PERMANENTE WEST SALEM PHARMACY
This page provides the complete NPI Profile along with additional information for Kaiser Permanente West Salem Pharmacy, a provider established in Salem, Oregon operating as a Pharmacy, focusing in managed care organization pharmacy . The healthcare provider is registered in the NPI registry with number 1609043116 assigned on May 2008. The practitioner's primary taxonomy code is 3336M0003X with license number RP-0002473-CS (OR). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Kaiser Permanente West Salem Pharmacy. The authorized official of this NPI record is Alfred Lyman Pharmd, Bcps (Executive Director, Regional Pharma)
- NPI
- 1609043116
- Provider Legal Name
- KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
- Other Organization Name
- KAISER PERMANENTE WEST SALEM PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1160 WALLACE RD NW SALEM, OR 97304
- Location Phone
- (866) 525-0583
- Location Fax
- (503) 318-4038
- Mailing Address
- 1160 WALLACE RD NW SALEM, OR 97304
- Mailing Phone
- (866) 525-0583
- Mailing Fax
- (503) 318-4038
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2008
- Last Update Date
- 06-01-2021
- Code Navigator
Location Map
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 Managed Care Organization Pharmacy
- Taxonomy Code
- 3336M0003X
- Type
- Suppliers
- License No.
- RP-0002473-CS
- License State
- OR
- Taxonomy Description
- A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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) |
|---|---|---|---|---|
| 1 | 3336C0002X | Suppliers | Pharmacy |
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.
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 |
|---|---|---|---|
| 2079586 | OTHER (01) | PK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D1084667
- Facility Type
- Physician Office
- Certificate Effective Date
- June 12, 2025
- Certificate Expiration Date
- June 11, 2027
- Laboratory Director
- JULIA BONCHER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kaiser Permanente West Salem Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 0 | 4 | 3 | 1 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 0 | 4 | 6 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 0 + 4 + 6 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1609043116 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760450308 | BARBARA G C HOOVER DO Individual | Family Medicine | 1160 WALLACE RD NW SALEM, OR 97304 (503) 381-7773 |
| 1760668636 | STEVEN R THORVILSON PHARM.D. RPH Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 1160 WALLACE RD NW SALEM, OR 97304 (866) 525-0583 |
| 1174768576 | DR. TATIANA O ANDERSON PHARM.D. Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 1160 WALLACE RD NW SALEM, OR 97304 (503) 315-4001 |
| 1437306578 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST Organization | Clinic/Center | 1160 WALLACE RD NW SALEM, OR 97304 (503) 361-5400 |
| 1598919565 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST Organization | Clinical Medical Laboratory | 1160 WALLACE RD NW SALEM, OR 97304 (503) 315-4043 |
| 1306398250 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST Organization | General Practice | 1160 WALLACE RD NW SALEM, OR 97304 (800) 813-2000 |
| 1114220605 | SILVIA OCHOA-SOSA Individual | Physician Assistant | 1160 WALLACE RD NW SALEM, OR 97304 (503) 813-3810 |
| 1215060017 | HEIDI MICHELLE SHERIDAN AU Individual | Audiologist | 1160 WALLACE RD NW SALEM, OR 97304 (503) 331-3060 |
| 1043392012 | DR. MARK WARREN OLSON M.D. Individual | Family Medicine | 1160 WALLACE RD NW SALEM, OR 97304 (503) 361-5400 |
| 1851584700 | DR. SUZANNE MARIE DESCHAMPS M.D. Individual | Family Medicine | 1160 WALLACE RD NW SALEM, OR 97304 (503) 361-5400 |
| 1003235474 | DR. BETHANY WOHLETZ M.D. Individual | 1160 WALLACE RD NW SALEM, OR 97304 (503) 304-5716 | |
| 1467497370 | MR. JASON MATTHEW BISCHOFF FNP-BC Individual | Nurse Practitioner (Family) | 1160 WALLACE RD NW SALEM, OR 97304 (503) 361-5400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609043116, enumerated in the NPI registry as an "organization" on May 14, 2008
The provider is located at 1160 Wallace Rd Nw Salem, Or 97304 and the phone number is (866) 525-0583
This medical organization specializes in Pharmacy with taxonomy code 3336M0003X with a focus in Managed Care Organization Pharmacy
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D1084667 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.