NPIMap

Organization Active NPI

John D Zipperer Jr MD LLC

  • Compounding Pharmacy
  • Wasilla, AK
National Provider Identifier
1811382229
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
505 Issued in AK
Legal business name
JOHN D ZIPPERER JR MD LLC
Doing business as
Zipperer Medical Group Pharmacy
Practice address
300 W Swanson Ave
Wasilla, AK 99654-6844
Phone
(907) 376-5210
Fax
(907) 376-5206
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Dr. John D Zipperer Jr., MD
Title
Ceo
Phone
(907) 376-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 505 AK Primary

Addresses

Primary practice location

300 W Swanson Ave
Wasilla, AK 99654-6844

Mailing address

300 W Swanson Ave
Wasilla, AK 99654-6844
Phone (907) 376-5210

Other names 1

  • Zipperer Medical Group Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John D Zipperer Jr MD LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1811382229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SWANSON AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546844",
            "telephone_number": "907-376-5210",
            "fax_number": "907-376-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SWANSON AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546844",
            "telephone_number": "907-376-5210",
            "fax_number": "907-376-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D ZIPPERER JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "ZIPPERER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-376-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AK",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zipperer Medical Group Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.