Organization Active NPI

Ak Pharmacy Management LLC

Doing business as Medical Center Pharmacy

  • Pharmacy
  • Fairbanks, AK
National Provider Identifier
1063590586
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHAR495 Issued in AK
Legal business name
AK PHARMACY MANAGEMENT LLC
Doing business as
Medical Center Pharmacy
Practice address
1867 Airport Way
Ste 105
Fairbanks, AK 99701-4054
Phone
(907) 452-2328
Fax
(907) 452-8073
NPI assigned
Nov 1, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Nancy BrownNPI 1407266422
Title
Owner Pic
Phone
(907) 452-2328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHAR495 AK Primary

Addresses

Primary practice location

1867 Airport Way
Ste 105
Fairbanks, AK 99701-4054

Mailing address

1867 Airport Way
Ste 105
Fairbanks, AK 99701-4054
Phone (907) 452-2328

Other identifiers 1

IdentifierTypeStateIssuer
2146752OtherPK

Other names 1

  • Medical Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ak Pharmacy Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1063590586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "STE 105",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014054",
            "telephone_number": "907-452-2328",
            "fax_number": "907-452-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "STE 105",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014054",
            "telephone_number": "907-452-2328",
            "fax_number": "907-452-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK PHARMACY MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "907-452-2328"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AK",
            "license": "PHAR495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.