Active NPI
Reed Supe, PHARMD, RPH
- Pharmacist
- Anchorage, AK
National Provider Identifier
1609275395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2257
- Practice address
- 725 E. Northern Lights Blvd
Anchorage, AK 99503 - Phone
- (907) 644-8400
- NPI assigned
- Aug 19, 2014
- 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 | 2257 | AK | Primary |
| Pharmacist | 183500000X | RPH.03234054-2 | OH |
Addresses
Primary practice location
725 E. Northern Lights Blvd
Anchorage, AK 99503
Mailing address
2037 Casey Cusack Loop
Anchorage, AK 99515-2808
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH.03234054-2 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1609275395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2037 CASEY CUSACK LOOP",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995152808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E. NORTHERN LIGHTS BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99503",
"telephone_number": "907-644-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUPE",
"first_name": "REED",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "2257",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "RPH.03234054-2",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.