Whale Tail Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

430 Issued in AK

Legal business name

WHALE TAIL PHARMACY

Practice address

333 Cold Storage Rd
Suite 103 Box 709
Craig, AK 99921

Phone

(907) 826-5750

Fax

(907) 826-5752

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Sarah Altland

Title

Pharmacist

Phone

(907) 826-5750

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Elizabeth Bumgardner, PHARMD

  • Pharmacist
  • Craig, AK
  • NPI 1740828128
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1376577056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COLD STORAGE RD",
            "address_2": "SUITE 103 BOX 709",
            "city": "CRAIG",
            "state": "AK",
            "postal_code": "99921",
            "telephone_number": "907-826-5750",
            "fax_number": "907-826-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COLD STORAGE RD",
            "address_2": "SUITE 103 BOX 709",
            "city": "CRAIG",
            "state": "AK",
            "postal_code": "99921",
            "telephone_number": "907-826-5750",
            "fax_number": "907-826-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHALE TAIL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "ALTLAND",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "907-826-5750"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH3699",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS3699",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Wallen-Haag
• Sarah Warner, LCSW
• Simone Washington
• Colleen Watson
• Whale Tail Health Services LLC
• Wilderness Medical Relief LLC
• Timothy Willis
• Hollis Yenna
• Rachel Yenna
• Heidi Young

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.