Kevin J Powers

Primary specialty

PharmacistTaxonomy code 183500000X

License

16841 Issued in IA

Practice address

1060 Gaffney Rd Ste 7440
Commander USA Meddac Ak McUc MMD (Attn Credentials)
Ft Wainwright, AK 99703-7440

Phone

(907) 353-5418

Fax

(907) 353-4847

NPI assigned

Dec 18, 2006

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295898989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STE 7440",
            "address_2": "COMMANDER USA MEDDAC AK MCUC MMD (ATTN CREDENTIALS)",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STE 7440",
            "address_2": "COMMANDER USA MEDDAC AK MCUC MMD (ATTN CREDENTIALS)",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "KEVIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "16841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Dee Petersen, D.D.S.
• Aaron Siglow Pfaff, DDS
• Ryan K Phillips, D,O.
• Rebecca Philpott, MD
• Carolee Porter, RN
• Anita Prewitt, R.D.H.
• Roxanne Pruitt-Kiser, LCSW, LICSW
• James L. Pulliam
• Kelsey Quick
• Edwin A Raby

• Pharmacist in Ft Wainwright, AK
• Providers in Ft Wainwright, AK by specialty
• Pharmacist 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.