Petersburg Rexall Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR46 Issued in AK

Legal business name

PETERSBURG REXALL DRUG INC

Doing business as

Petersburg Rexall Drug Inc

Practice address

215 N Nordic Dr
Petersburg, AK 99833-1208

Phone

(907) 772-3265

Fax

(907) 772-3165

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Catherine Kowalski, RPLNPI 1881937761

Title

Store Manager

Phone

(907) 772-3265

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• PETERSBURG REXALL DRUG INC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Kowalski, RPH

  • Pharmacist
  • Petersburg, AK
  • NPI 1881937761
  NPD (past) Authorized official
• Erica Worhatch, RPH.

  • Pharmacist
  • Petersburg, AK
  • NPI 1104946342
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1750415295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "998331209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N NORDIC DR",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "998331208",
            "telephone_number": "907-772-3265",
            "fax_number": "907-772-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSBURG REXALL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "907-772-3265",
        "authorized_official_credential": "RPL"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "PHAR46",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996439",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DH0046",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETERSBURG REXALL DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Petersburg Medical Center
• Petersburg Medical Center
• Petersburg Medical Center
• Petersburg Mental Health Services
• Petersburg Mental Health Services, Inc.
• Molly Platt, PT
• Elizabeth Poole
• Prism Eye Associates LLC (Petersburg Eye Care)
• Kimberly M Robson
• Patrick Sessa, LCSW

• Community/Retail Pharmacy in Petersburg, AK
• Providers in Petersburg, 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 Jun 20, 2016; 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.

Verify at the official NPI Registry.