John W Pendrey IV, CDCII, NCAC1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2212 Issued in AK

Practice address

3001 C Street
Department of Veterans Affairs Domiciliary
Anchorage, AK 99503

Phone

(907) 273-4000

Fax

(907) 273-4085

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164516597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 MONMOUTH AVENUE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99502",
            "telephone_number": "907-273-4088",
            "fax_number": "907-273-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 C STREET",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS DOMICILIARY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-273-4000",
            "fax_number": "907-273-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDREY",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "CDCII, NCAC1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Ann Pemberton, LCSW
• Prentiss J Pemberton, LCSW
• Karen L. Pena, RN
• Joseph Marvin Penafort
• Ashley Kay Pendegrass
• Chandra Denee Penn, RN, BSN
• David Penn, MD
• Anna Penny
• Roger Paul Penrod, RPH
• Cornelio Pentecostes

• Addiction (Substance Use Disorder) Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Addiction (Substance Use Disorder) Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.