Prescription Center LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

473 Issued in AK

Legal business name

PRESCRIPTION CENTER LLC

Doing business as

Alaska Family Pharmacy

Practice address

1919 Lathrop St
Suite 109
Fairbanks, AK 99701-5937

Phone

(907) 452-1514

Fax

(907) 452-1917

NPI assigned

Apr 20, 2006

Last updated

Dec 8, 2017By the provider in NPPES

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, PHARMD

Title

President

Phone

(907) 488-8101

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

Locations

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1801852769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 109",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-452-1514",
            "fax_number": "907-452-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 109",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-452-1514",
            "fax_number": "907-452-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-12-08",
        "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": "907-488-8101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571037",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presbyterian Hospitality House
• Presbyterian Hospitality House
• Presbyterian Hospitality House
• Prescription Center LLC (Prescription Center)
• Prescription Center LLC (Alaska Family Pharmacy)
• Prescription Center Pharmacy LLC (Alaska Family Pharmacy)
• Jewel Preshaw
• Meaghan Price-Quezada
• Melinda S Pride
• Karolina Priebe, DNP, FNP

• Community/Retail Pharmacy in Fairbanks, AK
• Providers in Fairbanks, 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 Dec 8, 2017; 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.