Active NPI
Pure Infusion of Alaska LLC
- Multi-Specialty Clinic/Center
- Anchorage, AK
National Provider Identifier
1184516049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PURE INFUSION OF ALASKA LLC
- Practice address
- 4200 Lake Otis Pkwy Ste 301
Anchorage, AK 99508-5226 - Phone
- (907) 318-9300
- NPI assigned
- Jul 16, 2025
- Last updated
- Oct 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Ann Fraga
- Title
- Director of Payer Development
- Phone
- (801) 921-6325
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
4200 Lake Otis Pkwy Ste 301
Anchorage, AK 99508-5226
Mailing address
4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Phone (801) 590-9267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4200 Lake Otis Pkwy
Ste 301
Anchorage, AK 99508
Phone (907) 318-9300
Practitioners & affiliated clinicians
Practitioners 4
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": "1752624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1184516049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4179 S RIVERBOAT RD STE 220",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841232986",
"telephone_number": "801-590-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 LAKE OTIS PKWY STE 301",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085226",
"telephone_number": "907-318-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE INFUSION OF ALASKA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-16",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "FRAGA",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR OF PAYER DEVELOPMENT",
"authorized_official_telephone_number": "801-921-6325"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.