NPIMap

Organization Active NPI

Prescription Center LLC

  • Community/Retail Pharmacy
  • Fairbanks, AK
National Provider Identifier
1083914931
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
473 Issued in AK
Legal business name
PRESCRIPTION CENTER LLC
Practice address
1919 Lathrop St
Suite 109
Fairbanks, AK 99701-5937
Phone
(907) 452-1514
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Dr. Leif Joseph Holm, PHARMD
Title
Vice-President/Pharmacist
Phone
(907) 488-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 473 AK Primary

Addresses

Primary practice location

1919 Lathrop St
Suite 109
Fairbanks, AK 99701-5937

Mailing address

167 S Santa Claus LN
North Pole, AK 99705-7702
Phone (907) 488-8555

Other identifiers 1

IdentifierTypeStateIssuer
473OtherAKALASKA PHARMACY LICENSE

Other names 1

  • Prescription Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prescription Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1083914931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 S SANTA CLAUS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057702",
            "telephone_number": "907-488-8555",
            "fax_number": "907-488-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 109",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-452-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "LEIF",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE-PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "907-488-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA PHARMACY LICENSE",
            "identifier": "473",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Center",
            "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 Oct 26, 2010; 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.