Professional Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

474 Issued in AK

Legal business name

PROFESSIONAL PHARMACY LLC

Doing business as

Alaska Family Pharmacy

Practice address

1001 Noble St
Fairbanks, AK 99701-4948

Phone

(907) 452-2556

Fax

(907) 451-8314

NPI assigned

Aug 10, 2006

Last updated

Jun 2, 2025By 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 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 Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Professional Pharmacy LLC

  dba Professional Pharmacy

  • Community/Retail Pharmacy
  • Fairbanks, AK
  • NPI 1205146859
  NPD tax ID
• Professional Pharmacy LLC

  dba Alaska Family Pharmacy

  • Clinic Pharmacy
  • Fairbanks, AK
  • NPI 1811501679
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leif Joseph Holm, PHARMD., RPH.

  • Pharmacist
  • North Pole, AK
  • NPI 1326164401
  Authorized official Same address or phone

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1841201415",
    "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": "1001 NOBLE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014948",
            "telephone_number": "907-452-2556",
            "fax_number": "907-451-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "LEIF",
        "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": "474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571025",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Primm
• Procare Home Medical, Inc. (Procare Home Medical)
• Holly Proell, PT-CLT
• Professional Pharmacy LLC (Professional Pharmacy)
• Professional Pharmacy LLC (Alaska Family Pharmacy)
• Alyssa Prollock, RD
• Jason Patrick Proud, DPT
• Gina Pruce, MA
• Connor David Puetzer
• Rebecca Anne Puetzer

• 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 Jun 2, 2025; 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.