Downtown Drugstore

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

213 Issued in AK

Legal business name

DOWNTOWN DRUGSTORE

Practice address

300 Front St
Ketchikan, AK 99901-6418

Phone

(907) 225-3144

Fax

(907) 247-3144

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Vassa A Robertson

Title

Pharmacist Owner

Phone

(907) 225-3144

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1215080502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRONT ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016418",
            "telephone_number": "907-225-3144",
            "fax_number": "907-247-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRONT ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016418",
            "telephone_number": "907-225-3144",
            "fax_number": "907-247-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DRUGSTORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "VASSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "907-225-3144"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH1252",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Dobbe
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• Ann Doczi, LMHC (WA), LPC (AK)
• Anne L Doubek, LPC
• Myra C Dove, MD
• Candice Jillian Duckworth
• Frank Richard Duckworth
• Gabriel Louis Steele Duckworth
• Jackie Adair Duckworth, BA, MA
• Ryan Mikael Duckworth

• Community/Retail Pharmacy in Ketchikan, AK
• Providers in Ketchikan, 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 Jun 16, 2008; 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.