NPIMap

Organization Active NPI

Alaska Island Community Services

Doing business as Alaska Island Community Services Pharmacy

  • Clinic Pharmacy
  • Wrangell, AK
National Provider Identifier
1710216544
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
471 Issued in AK
Legal business name
ALASKA ISLAND COMMUNITY SERVICES
Doing business as
Alaska Island Community Services Pharmacy
Practice address
333 Church St
Wrangell, AK 99929
Phone
(907) 874-5005
Fax
(907) 874-4719
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Mark Walker
Title
Executive Director
Phone
(907) 874-2373

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 471 AK Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

333 Church St
Wrangell, AK 99929

Mailing address

PO Box 1231
Wrangell, AK 99929-1231
Phone (907) 874-5005

Other identifiers 1

IdentifierTypeStateIssuer
2122841OtherPK

Other names 1

  • Alaska Island Community Services Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alaska Island Community Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1710216544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "999291231",
            "telephone_number": "907-874-5005",
            "fax_number": "907-874-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CHURCH ST",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "99929",
            "telephone_number": "907-874-5005",
            "fax_number": "907-874-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA ISLAND COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-874-2373"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "AK",
            "license": "471",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Island Community Services Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wrangell, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.