NPIMap

Organization Active NPI

Southeast Alaska Regional Health Consortium

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Juneau, AK
National Provider Identifier
1619704053
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Practice address
9101 Mendenhall Mall Rd
Juneau, AK 99801-7165
Phone
(907) 463-0420
Fax
(907) 463-0421
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Daniel Harris
Title
SVP/ Chief Financial Officer
Phone
(907) 463-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

9101 Mendenhall Mall Rd
Juneau, AK 99801-7165

Mailing address

3100 Channel Dr Ste 300
Juneau, AK 99801-7837
Phone (907) 463-4074

Other identifiers 1

IdentifierTypeStateIssuer
228664OtherAKLICENSURE

Other names 1

  • SEARHC Mendenhall Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mark Peterson88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1619704053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHANNEL DR STE 300",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017837",
            "telephone_number": "907-463-4074",
            "fax_number": "907-463-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 MENDENHALL MALL RD",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017165",
            "telephone_number": "907-463-0420",
            "fax_number": "907-463-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SVP/ CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "907-463-4000"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "228664",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEARHC Mendenhall Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEARHC Mendenhall Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.