NPIMap

Organization Active NPI

Providence Seward Medical Center Drug Room

  • Clinic Pharmacy
  • Seward, AK
National Provider Identifier
1356538748
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHAG23 Issued in AK
Legal business name
PROVIDENCE SEWARD MEDICAL CENTER DRUG ROOM
Practice address
417 First Ave
Seward, AK 99664-0365
Phone
(907) 224-7248
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHAG23 AK Primary

Addresses

Primary practice location

417 First Ave
Seward, AK 99664-0365

Mailing address

PO Box 430
Seward, AK 99664-0430

Other identifiers 1

IdentifierTypeStateIssuer
1996582OtherPK

Other names 1

  • PROVIDENCE SEWARD MEDICAL CENTER DRUG ROOM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Providence Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1356538748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996640430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FIRST AVE",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996640365",
            "telephone_number": "907-224-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE SEWARD MEDICAL CENTER DRUG ROOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "AK",
            "license": "PHAG23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE SEWARD MEDICAL CENTER DRUG ROOM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seward, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.