Active NPI
Providence Health & Services - Washington
- Community/Retail Pharmacy
- Anchorage, AK
National Provider Identifier
1821271271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PROVIDENCE HEALTH & SERVICES - WASHINGTON
- Practice address
- 3841 Piper St
Suite U230
Anchorage, AK 99508-4624 - Phone
- (907) 212-6868
- Fax
- (907) 212-4955
- NPI assigned
- Dec 7, 2007
- Organization subpart
- Yes
- Parent organization
- PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Wayne Anderson Jr.
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3841 Piper St
Suite U230
Anchorage, AK 99508-4624
Mailing address
PO Box 4048
Portland, OR 97208-4048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH5893 | Medicaid | AK |
Other names 1
- Providence Health Park Pharmacy
National Provider Directory
National Provider Directory- Part of
- Providence Health Services - Washington
Locations
3841 Piper St
Ste U230
Anchorage, AK 99508
Phone (907) 212-6868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747180800000",
"number": "1821271271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4048",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 PIPER ST",
"address_2": "SUITE U230",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084624",
"telephone_number": "907-212-6868",
"fax_number": "907-212-4955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE HEALTH & SERVICES - WASHINGTON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES - WASHINGTON",
"enumeration_date": "2007-12-07",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
"authorized_official_telephone_number": "425-358-9786",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PH5893",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Providence Health Park Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anchorage, AK
- Providence Health & Services - Washington
- Providence Health & Services - Washington
- Providence Health & Services - Washington
- Providence Health & Services - Washington
- Providence Health & Services - Washington
- Providence Health & Services - Washington
- Providence Health & Services Washington
- Providence Health & Services Washington
- Providence Health & Services Washington
- Providence Health & Services Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.