Victoria Elizabeth Bumgardner, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

146053 Issued in AK

Practice address

333 Cold Storage Road
Suite 103
Craig, AK 99921

Phone

(907) 826-5750

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whale Tail Health Services LLC

  • Clinic/Center
  • Craig, AK
  • NPI 1639802390
  NPD
• Whale Tail Pharmacy LLC

  • Pharmacist
  • Craig, AK
  • NPI 1376577056
  NPD

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1740828128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COLD STORAGE ROAD",
            "address_2": "SUITE 103",
            "city": "CRAIG",
            "state": "AK",
            "postal_code": "99921",
            "telephone_number": "907-826-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COLD STORAGE ROAD",
            "address_2": "SUITE 103",
            "city": "CRAIG",
            "state": "AK",
            "postal_code": "99921",
            "telephone_number": "907-826-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "VICTORIA",
        "middle_name": "ELIZABETH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "146053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Marie Bowie, NP
• Ryan Bowser
• Bettina Brentano
• Jessie Brookins
• Scott Brookshire
• Casey Bunker
• Eva Christensn
• City of Craig Inc.
• City of Craig, Inc. (Craig Clinic)
• Shauna Marie Colbert

• Pharmacist in Craig, AK
• Providers in Craig, AK by specialty
• Pharmacist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.