Great Land Infusion Pharmacy Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

429 Issued in AK

Legal business name

GREAT LAND INFUSION PHARMACY INC

Doing business as

Great Land Infusion Pharmacy Inc

Practice address

2421 E Tudor Rd
Ste 107
Anchorage, AK 99507-1128

Phone

(907) 561-2421

Fax

(907) 868-5154

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Scott Noaeill, RPH

Title

President/Owner

Phone

(907) 561-2421

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• GREAT LAND INFUSION PHARMACY INC Doing business as

Locations

Practitioners 3

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

• Rebekah Balmes, PHARMD

  • Pharmacist
  • Anchorage, AK
  • NPI 1033759279
  NPD (past)
• Nicole Curry, PHARMD

  • Pharmacist
  • Anchorage, AK
  • NPI 1609067339
  NPD (past)
• Rodney Sloop Gordon, R.PH.

  • Pharmacist
  • Anchorage, AK
  • NPI 1659595387
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1437194206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230368, GREAT LAND INFUSION PHARMACY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99523",
            "telephone_number": "907-561-2421",
            "fax_number": "907-868-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD",
            "address_2": "STE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071128",
            "telephone_number": "907-561-2421",
            "fax_number": "907-868-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAND INFUSION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "NOAEILL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "907-561-2421",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "AK",
            "license": "429",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997065",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH0429",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS0429",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT LAND INFUSION PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GREAT LAND INFUSION PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Gray
• Sierra Gray
• Graystone Assisted Living Home LLC
• Courtney Graziano, PHARMD
• Great Land Alternative Medicine, LLC
• Brooke Juanita Greathouse
• Greatland Acupuncture
• Greatland Mental Health, LLC
• Constance Matthews Greco, L.C.S.W.
• Kimberly Anne Greeff, MT

• Home Infusion Therapy Pharmacy in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Home Infusion Therapy Pharmacy in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.