Village Pharmacy of Valdez

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0208 Issued in AK

Legal business name

VILLAGE PHARMACY OF VALDEZ

Practice address

Pioneer and Meals STS.
Valdez, AK 99686

Phone

(907) 835-3737

Fax

(907) 835-5757

NPI assigned

Oct 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kay E Houghton

Title

Owner

Phone

(907) 835-3737

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679655096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "VALDEZ",
            "state": "AK",
            "postal_code": "996860248",
            "telephone_number": "907-835-3737",
            "fax_number": "907-835-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PIONEER AND MEALS STS.",
            "city": "VALDEZ",
            "state": "AK",
            "postal_code": "99686",
            "telephone_number": "907-835-3737",
            "fax_number": "907-835-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY OF VALDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUGHTON",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-835-3737"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "0208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "0201638",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH0208",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valdez Eye Care, LLC (Tongass Eye Care)
• Valdez Medical Clinic,LLC
• Valdez Senior Citizen Center
• Valdez Senior Citizens
• Valdez Senior Citizens Center, Inc
• Daniel Lorenzo Walker, LMT
• Rebecca Walker
• Pati Washam, CNA
• Garett S Williams, D.C.
• Larissa Ellis Williams, LMT

• Community/Retail Pharmacy in Valdez, AK
• Providers in Valdez, AK by specialty
• Community/Retail Pharmacy in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.