Active NPI
Derek J Stolen
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Anchorage, AK
National Provider Identifier
1346591203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 1215
- Practice address
- 1000 E Northern Lights Blvd
Anchorage, AK 99508-4283 - Phone
- (907) 264-9633
- NPI assigned
- Oct 1, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 1215 | AK | Primary |
Addresses
Primary practice location
1000 E Northern Lights Blvd
Anchorage, AK 99508-4283
Mailing address
8900 Old Seward Hwy
Anchorage, AK 99515-2022
Phone (907) 344-7300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1215 | AK | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1346591203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 OLD SEWARD HWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995152022",
"telephone_number": "907-344-7300",
"fax_number": "907-344-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E NORTHERN LIGHTS BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084283",
"telephone_number": "907-264-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLEN",
"first_name": "DEREK",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-01",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AK",
"license": "1215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.