Bko Health LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113764 Issued in AK

Legal business name

BKO HEALTH LLC

Doing business as

Scotts Family Pharmacy Health and Nutrition

Practice address

4014 Lake St Ste 101
Homer, AK 99603-7692

Phone

(907) 226-2580

Fax

(907) 226-2620

NPI assigned

Jul 26, 2016

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan Scott, PHARMD

Title

Owner, Pic, Ao

Phone

(907) 226-2580

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Scotts Family Pharmacy Health and Nutrition Doing business as

Locations

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1073066064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 LAKE ST STE 101",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037692",
            "telephone_number": "907-226-2580",
            "fax_number": "907-226-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 LAKE ST STE 101",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037692",
            "telephone_number": "907-226-2580",
            "fax_number": "907-226-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "907-226-2580",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "113764",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scotts Family Pharmacy Health and Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annamaria Sitenga Bernards, OD
• Sabrena Delight Berryman, LMT
• Bonnie Betley
• Ivy Lynn Betts, RN
• Johnnalyn Bishop
• Renae Blanton, A.N.P.
• Holly Bliss
• Susan Michelle Blizzard
• Bobbi Cleary, LPC, LLC
• M Todd Boling, D.O.

• Community/Retail Pharmacy in Homer, AK
• Providers in Homer, AK by specialty
• Community/Retail Pharmacy in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.