Barry Delano Christensen, RPH
Individual provider Active NPI Pharmacist · Ketchikan, AK
NPI 1790337103 · NPPES record last updated Jul 15, 2019
Key facts
- NPI
- 1790337103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- AA882 (AK)
- Practice address
- 3526 Tongass Ave
Ketchikan, AK 99901-5635 - Phone
- (907) 225-6186
- Fax
- (907) 225-6187
- NPI assigned
- Jul 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA882 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Medical Services Inc | Current |
Accepting new patients | |
| Island Pharmacy Inc | Current |
Accepting new patients |
Locations
3526 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-6186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | AA882 | AK | Yes |
Addresses
Primary practice location
3526 Tongass Ave
Ketchikan, AK 99901-5635
Mailing address
3526 Tongass Ave
Ketchikan, AK 99901-5635
Phone (907) 225-6186
Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.