Active NPI
Greg Alan Ponsness, PHARM.D.
- Pharmacist
- Bethel, AK
National Provider Identifier
1518055805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1280
- Practice address
- 700 Chief Eddie Hoffman Hwy
Attn: Pharmacy
Bethel, AK 99559 - Phone
- (907) 543-6652
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1280 | AK | Primary |
| Pharmacist | 183500000X | P5407 | ID |
Addresses
Primary practice location
700 Chief Eddie Hoffman Hwy
Attn: Pharmacy
Bethel, AK 99559
Mailing address
PO Box 2512
Bethel, AK 99559-2512
Phone (907) 543-3593
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5407 | ID | MD | Pharmacist |
| 1280 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518055805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2512",
"city": "BETHEL",
"state": "AK",
"postal_code": "995592512",
"telephone_number": "907-543-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHIEF EDDIE HOFFMAN HWY",
"address_2": "ATTN: PHARMACY",
"city": "BETHEL",
"state": "AK",
"postal_code": "99559",
"telephone_number": "907-543-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONSNESS",
"first_name": "GREG",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1280",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5407",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.