Active NPI
Alexander Goldin
- Pharmacist
- Wasilla, AK
National Provider Identifier
1114333929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2237
- Practice address
- 1721 E Parks Hwy
Wasilla, AK 99654-7349 - Phone
- (907) 631-0300
- NPI assigned
- Jul 2, 2014
- Last updated
- Jul 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2237 | AK | Primary |
Addresses
Primary practice location
1721 E Parks Hwy
Wasilla, AK 99654-7349
Mailing address
230 W 14TH Ave
Apt 221
Anchorage, AK 99501-5155
Phone (757) 303-7999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2237 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1114333929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 W 14TH AVE",
"address_2": "APT 221",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995015155",
"telephone_number": "757-303-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 E PARKS HWY",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547349",
"telephone_number": "907-631-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDIN",
"first_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "2237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.