Kaiser Permanente East Interstate Pharmacy – Managed Care Organization Pharmacy, NPI 1013963131

Kaiser Permanente East Interstate Pharmacy is a healthcare provider. based in Portland, Oregon. specializing in Managed Care Organization Pharmacy. The organization holds a License No. RP-0000717-CS (OR). The NPI Number for Kaiser Permanente East Interstate Pharmacy is 1013963131

Main info

Organization
Name
Kaiser Permanente East Interstate Pharmacy
NPI
1013963131
Phone
(866) 279-6122
Address
3550 N INTERSTATE AVE
Authorized Official
STEPHEN SHAWN BARTON EXECUTIVE DIRECTOR, REVENUE CYCLE
Enumeration Date
26 May 2006
Last Update Date
23 June 2022

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:20State licenses:1Updated within 12 months

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Provider Addresses for Kaiser Permanente East Interstate Pharmacy

  • 3550, North Interstate Avenue, Overlook, Portland, Metro, Multnomah County, Oregon, 97227, United States

    PORTLAND, OR 972271196

    Phone: (866) 279-6122

    Fax: (503) 249-3438

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97227)

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Reviews

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Frequently asked questions

Does Kaiser Permanente East Interstate Pharmacy have a public NPI I can cite?
Public records show Kaiser Permanente East Interstate Pharmacy under NPI 1013963131.
Is Kaiser Permanente East Interstate Pharmacy currently accepting referrals based on NPI status?
Registry metadata lists Kaiser Permanente East Interstate Pharmacy as active.
What services align with Kaiser Permanente East Interstate Pharmacy's listing?
Kaiser Permanente East Interstate Pharmacy's public classification highlights Managed Care Organization Pharmacy. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Kaiser Permanente East Interstate Pharmacy?
Kaiser Permanente East Interstate Pharmacy is associated with Portland, Oregon in the same public data insurers reference.
Who maintains Kaiser Permanente East Interstate Pharmacy's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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