Active NPI
Dirk T White, RPH
- Pharmacist
- Sitka, AK
National Provider Identifier
1285257022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH811
- Practice address
- 117 Granite Creek Rd
Sitka, AK 99835-9578 - Phone
- (907) 738-6337
- Fax
- (907) 966-3979
- NPI assigned
- May 27, 2020
- Last updated
- May 27, 2020
- 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 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Health Educator | 174H00000X | |||
| Nutrition Support Pharmacist | 1835N1003X | PH811 | AK | |
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | PH811 | AK | |
| Clinical Pharmacology Physician | 208U00000X | PH811 | AK | |
| Home Health Agency | 251E00000X | |||
| Home Infusion Agency | 251F00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Exclusive Provider Organization | 302F00000X | |||
| Point of Service | 305S00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Pharmacist | 183500000X | PH811 | AK | Primary |
Addresses
Primary practice location
117 Granite Creek Rd
Sitka, AK 99835-9578
Mailing address
117 Granite Creek Rd
Sitka, AK 99835-9578
Phone (907) 738-6337
Other practice location 1
106 Lincoln St
Sitka, AK 99835-7540
Phone (907) 966-2110
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH811 | AK | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1285257022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 GRANITE CREEK RD",
"city": "SITKA",
"state": "AK",
"postal_code": "998359578",
"telephone_number": "907-738-6337",
"fax_number": "907-966-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 GRANITE CREEK RD",
"city": "SITKA",
"state": "AK",
"postal_code": "998359578",
"telephone_number": "907-738-6337",
"fax_number": "907-966-3979"
}
],
"practiceLocations": [
{
"address_1": "106 Lincoln St",
"address_purpose": "LOCATION",
"city": "Sitka",
"state": "AK",
"postal_code": "998357540",
"country_code": "US",
"telephone_number": "907-966-2110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "DIRK",
"middle_name": "T",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "AK",
"license": "PH811",
"primary": false
},
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "AK",
"license": "PH811",
"primary": false
},
{
"code": "208U00000X",
"taxonomy_group": "",
"desc": "Clinical Pharmacology",
"state": "AK",
"license": "PH811",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "PH811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.