NPIMap

Organization Active NPI

Tribal House Pharmacy

  • Pharmacy
  • Ketchikan, AK
National Provider Identifier
1316233570
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
476 Issued in AK
Legal business name
TRIBAL HOUSE PHARMACY
Practice address
300 Front St
Ketchikan, AK 99901-6418
Phone
(907) 225-3144
NPI assigned
Jun 24, 2011
Last updated
Aug 11, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
KETCHIKAN INDIAN CORPORATION TRIBAL HEALTH CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Dr. Jim Lampkins, PHARMD
Title
Pharmacist
Phone
(907) 225-3144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 476 AK Primary

Addresses

Primary practice location

300 Front St
Ketchikan, AK 99901-6418

Mailing address

300 Front St
Ketchikan, AK 99901-6418
Phone (907) 225-3144

Other identifiers 1

IdentifierTypeStateIssuer
PH2696MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Kic Tribal Health Clinic7 organizations share this tax ID, including this one
Part of
Kic Tribal Health Clinic

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Front St
Ketchikan, AK 99901
Phone (907) 225-3144

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1316233570",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBAL HOUSE PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KETCHIKAN INDIAN CORPORATION TRIBAL HEALTH CLINIC",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "LAMPKINS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "907-225-3144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AK",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH2696",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.