Kaiser Permanente Interstate South Pharmacy – Clinic Pharmacy, NPI 1730108168

Kaiser Permanente Interstate South Pharmacy is a healthcare provider. based in Portland, Oregon. specializing in Clinic Pharmacy. The organization holds a License No. PHNR.FO.60572833 (WA). The NPI Number for Kaiser Permanente Interstate South Pharmacy is 1730108168

Main info

Organization
Name
Kaiser Permanente Interstate South Pharmacy
NPI
1730108168
Phone
(503) 261-7980
Address
5725 NE 138TH AVE
Authorized Official
ALFRED LYMAN EXECUTIVE DIRECTOR, REGIONAL PHARMA PHARMD, BCPS
Enumeration Date
18 July 2006
Last Update Date
1 June 2021

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
Experience81
Completeness90
Years active:19State licenses:2Updated within 12 months

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Provider Addresses for Kaiser Permanente Interstate South Pharmacy

  • 5725, Northeast 138th Avenue, Argay Terrace, Portland, Metro, Multnomah County, Oregon, 97230, United States

    PORTLAND, OR 972303409

    Phone: (503) 261-7980

    Fax: (503) 261-7567

    Type: Mailing

  • Interstate Medical Office South, 3500, North Interstate Avenue, Overlook, Portland, Metro, Multnomah County, Oregon, 97227, United States

    PORTLAND, OR 972271196

    Phone: (503) 331-6186

    Fax: (503) 331-6187

    Type: Location

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.

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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 97230)

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Reviews

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Frequently asked questions

How do I look up Kaiser Permanente Interstate South Pharmacy by NPI?
Use NPI 1730108168 when you need to reference Kaiser Permanente Interstate South Pharmacy in forms, claims, or directories.
Is Kaiser Permanente Interstate South Pharmacy active in the national directory?
Kaiser Permanente Interstate South Pharmacy's public NPI profile is in an active state.
Can you summarize Kaiser Permanente Interstate South Pharmacy's specialty in plain language?
Clinically, the directory lists Kaiser Permanente Interstate South Pharmacy with Clinic Pharmacy. Clinical services aligned with this taxonomy classification.
Where does public data place Kaiser Permanente Interstate South Pharmacy?
The snapshot lists Portland, Oregon for Kaiser Permanente Interstate South Pharmacy; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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