Individual provider Active NPI

Angela M Leboeuf, RPH

  • Pharmacist
  • Anchorage, AK
National Provider Identifier
1043959729
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1096 Issued in AK
Practice address
1200 Airport Heights Dr Ste 195
Anchorage, AK 99508-2982
Phone
(907) 279-2425
Fax
(907) 279-2426
NPI assigned
Jun 1, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1096 AK Primary

Addresses

Primary practice location

1200 Airport Heights Dr Ste 195
Anchorage, AK 99508-2982

Mailing address

1200 Airport Heights Dr Ste 195
Anchorage, AK 99508-2982
Phone (907) 279-2425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amerita, Inc. CurrentSince Jun 5, 2022 Accepting new patients
Ivy Home Infusions LLC PastSince Jun 5, 2022 Accepting new patients

Locations

1200 Airport Heights Dr
Ste 195
Anchorage, AK 99508
Phone (907) 264-2044

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1043959729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 195",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082982",
            "telephone_number": "907-279-2425",
            "fax_number": "907-279-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 195",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082982",
            "telephone_number": "907-279-2425",
            "fax_number": "907-279-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOEUF",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.