North Pole Prescription Laboratory Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

128081 Issued in AK

Legal business name

NORTH POLE PRESCRIPTION LABORATORY INC

Practice address

167 Santa Claus Lane
North Pole, AK 99705

Phone

(907) 488-8555

Fax

(907) 488-8556

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Leif Joseph Holm, PHARMDNPI 1326164401

Title

President

Phone

(907) 488-8555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alaska Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Tax ID family

Alaska Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• North Pole Prescription Laboratory Inc

  • Clinic Pharmacy
  • North Pole, AK
  • NPI 1467051292
  NPD tax ID

Locations

Practitioners 2

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

• Leif Joseph Holm, PHARMD., RPH.

  • Pharmacist
  • North Pole, AK
  • NPI 1326164401
  NPD Authorized official
• Hajnalka Nemeth, PHARMD

  • Pharmacist
  • North Pole, AK
  • NPI 1124391107
  NPD

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770578296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 SANTA CLAUS LANE",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "99705",
            "telephone_number": "907-488-8555",
            "fax_number": "907-488-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 SANTA CLAUS LANE",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "99705",
            "telephone_number": "907-488-8555",
            "fax_number": "907-488-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POLE PRESCRIPTION LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "LEIF",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-488-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "128081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028518",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Norris
• North Pole Eyecare LLC
• North Pole Optical, Inc
• North Pole Physical Therapy, Inc
• North Pole Prescription Laboratory Inc
• North Pole Veterinary Hospital, Inc
• Penney Puanani Oguma, BA, CDCS,CSAC, ICADC
• Christopher Steven Olsen, DDS
• Kayla M Osborne, DPT
• Samuel Owings

• Community/Retail Pharmacy in North Pole, AK
• Providers in North Pole, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.