Nicole Winiarski-Pham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

208749 Issued in AK

Practice address

530 Old Steese Hwy
Fairbanks, AK 99701-3130

Phone

(907) 457-9301

NPI assigned

Jul 3, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Fairbanks, AK
  • NPI 1841688314
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1316624273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4372 9TH ST UNIT L",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997031301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 OLD STEESE HWY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013130",
            "telephone_number": "907-457-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINIARSKI-PHAM",
        "first_name": "NICOLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "208749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Wilson
• Austin Jared Windsperger, DPT
• Nancy E. Winford, LPC
• Artisha J Winfrey
• Allison K Wing
• Savannah Wesley Winner, PT
• Winter Moon Child & Family Counseling LLC
• Erin Winters, DDS
• Tomi Winters, M. ED.
• Shannon Winterton

• Pharmacist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Pharmacist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.