Active NPI
Kathleen Zinnerzwink
- Pharmacist
- Eagle River, AK
National Provider Identifier
1508239989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1309
- Practice address
- 18600 Eagle River Rd
Eagle River, AK 99577-8688 - Phone
- (907) 694-9786
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- 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 | 183500000X | 1309 | AK | Primary |
Addresses
Primary practice location
18600 Eagle River Rd
Eagle River, AK 99577-8688
Mailing address
18600 Eagle River Rd
Eagle River, AK 99577-8688
Phone (907) 694-9786
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 |
|---|---|---|---|
| 1309 | AK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1508239989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18600 EAGLE RIVER RD",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778688",
"telephone_number": "907-694-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18600 EAGLE RIVER RD",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778688",
"telephone_number": "907-694-9786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINNERZWINK",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.