Active NPI
Tanana Chiefs Conference
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Fairbanks, AK
National Provider Identifier
1649385667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- License
- 483
- Legal business name
- TANANA CHIEFS CONFERENCE
- Practice address
- 1717 W Cowles St
Fairbanks, AK 99701-5926 - Phone
- (907) 459-3807
- Fax
- (907) 459-3910
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Nelson, PHARMD
- Title
- Phcy Dir
- Phone
- (907) 451-6682
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 483 | AK | Primary |
| Pharmacy | 333600000X |
Addresses
Primary practice location
1717 W Cowles St
Fairbanks, AK 99701-5926
Mailing address
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 459-3807
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH0156 | Medicaid | AK | |
| 0000 | Medicaid | AK | |
| 1996984 | Other | PK |
Other names 1
- CHIEF ANDREW ISAAC HEALTH CENTER PHARMACY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2023425 | Chief Andrew Isaac Health Center | Certificate of waiver | Apr 21, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Tanana Chiefscon
Other organizations with this tax ID 37
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Fairbanks, AK
- NPI 1083258677
-
- Rural Health Clinic/Center
- Fairbanks, AK
- NPI 1427236793
-
- Community Health Clinic/Center
- Fairbanks, AK
- NPI 1891097697
-
- Community Health Clinic/Center
- Galena, AK
- NPI 1811220767
-
- Substance Abuse Rehabilitation Facility
- Fairbanks, AK
- NPI 1982877353
-
- Community/Behavioral Health Agency
- Fairbanks, AK
- NPI 1053955674
-
- Case Management Agency
- Fairbanks, AK
- NPI 1073717047
-
- Transportation Broker
- Fairbanks, AK
- NPI 1295245488
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fairbanks, AK
- NPI 1043469349
-
- Substance Abuse Rehabilitation Facility
- Fairbanks, AK
- NPI 1063290955
-
- Clinic/Center
- Fairbanks, AK
- NPI 1134308356
-
- Urgent Care Clinic/Center
- Fairbanks, AK
- NPI 1154530483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1649385667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 W COWLES ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015926",
"telephone_number": "907-459-3807",
"fax_number": "907-459-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W COWLES ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015926",
"telephone_number": "907-459-3807",
"fax_number": "907-459-3910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANANA CHIEFS CONFERENCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2025-09-19",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PHCY DIR",
"authorized_official_telephone_number": "907-451-6682",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332800000X",
"taxonomy_group": "",
"desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
"state": "AK",
"license": "483",
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PH0156",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1996984",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHIEF ANDREW ISAAC HEALTH CENTER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.