Ulmer Mede, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

108984 Issued in AK

Legal business name

ULMER MEDE, INC.

Doing business as

Ulmer's Drug & Hardware

Practice address

3858 Lake Street
Ste 5
Homer, AK 99603

Phone

(907) 235-7760

Fax

(907) 235-2897

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Michael Mede

Title

Owner

Phone

(907) 226-3089

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ulmer's Drug & Hardware Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

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

• Danielle King, PHARMD

  • Pharmacist
  • Homer, AK
  • NPI 1952602591
  NPD (past)
• Stephen Michael Mueller, M.S., RPH

  • Pharmacist
  • Homer, AK
  • NPI 1194087551
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1396859286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 LAKE STREET",
            "address_2": "STE 5",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "99603",
            "telephone_number": "907-235-7760",
            "fax_number": "907-235-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 LAKE STREET",
            "address_2": "STE 5",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "99603",
            "telephone_number": "907-235-7760",
            "fax_number": "907-235-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULMER MEDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "MEDE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-226-3089"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "108984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0201082",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1650751",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ulmer's Drug & Hardware",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ulmer's Drug & Hardware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Tomey
• Giulia Marie Tortora, MD
• Rita Traugott
• Sabine Treusein, D.O.M., L.AC.
• Christina Marie Tuomi, DO
• Andrew Umberger
• Jeffrey Adam Vonrekowski, MA, CCC-SLP
• Martha Wagele, MS
• Linda Wagner, RN
• Grace Wahl

• Community/Retail Pharmacy in Homer, AK
• Providers in Homer, AK by specialty
• Community/Retail Pharmacy in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.