Organization Active NPI

Prescription Laboratories LLC

  • Community/Retail Pharmacy
  • Anchorage, AK
National Provider Identifier
1629089255
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
444 Issued in AK
Legal business name
PRESCRIPTION LABORATORIES LLC
Doing business as
HEWITTS DRUG STORE
Practice address
751 E 36TH Ave
Ste 114
Anchorage, AK 99503-4141
Phone
(907) 277-2422
Fax
(907) 278-2422
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Robert Niebert, RPJ
Title
Owner
Phone
(907) 277-2422

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 444 AK Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

751 E 36TH Ave
Ste 114
Anchorage, AK 99503-4141

Mailing address

PO Box 231027
Anchorage, AK 99523-1027

Other identifiers 2

IdentifierTypeStateIssuer
PH0038MedicaidAK
0200131OtherOTHER ID NUMBER

Other names 1

  • HEWITTS DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

751 E 36th Ave
Ste 114
Anchorage, AK 99503
Phone (907) 277-2422

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1629089255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231027",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995231027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E 36TH AVE",
            "address_2": "STE 114",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034141",
            "telephone_number": "907-277-2422",
            "fax_number": "907-278-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "NIEBERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-277-2422",
        "authorized_official_credential": "RPJ"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "444",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH0038",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0200131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEWITTS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 15, 2008; 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.