Active NPI
Elise Shepard, PHARMD
- Pharmacist
- Sitka, AK
National Provider Identifier
1851902712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHAP1558
- Practice address
- 705 Halibut Point Rd
Sitka, AK 99835-7354 - Phone
- (907) 966-2150
- Fax
- (907) 966-2468
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00055983 | WA | |
| Pharmacist | 183500000X | PHAP1558 | AK | Primary |
Addresses
Primary practice location
705 Halibut Point Rd
Sitka, AK 99835-7354
Mailing address
705 Halibut Point Rd
Sitka, AK 99835-7354
Phone (907) 966-2150
Other practice location 1
106 Lincoln St
Sitka, AK 99835-7540
Phone (907) 966-2110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH00055983 | Other | WA | PHARMACY LICENSE |
| PHAP1558 | Other | AK | PHARMACY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elises@whitesalaska.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHAP1558 | AK | MD | Pharmacist |
| PH00055983 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whites Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1851902712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 HALIBUT POINT RD",
"city": "SITKA",
"state": "AK",
"postal_code": "998357354",
"telephone_number": "907-966-2150",
"fax_number": "907-966-2468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 HALIBUT POINT RD",
"city": "SITKA",
"state": "AK",
"postal_code": "998357354",
"telephone_number": "907-966-2150",
"fax_number": "907-966-2468"
}
],
"practiceLocations": [
{
"address_1": "106 Lincoln St",
"address_purpose": "LOCATION",
"city": "Sitka",
"state": "AK",
"postal_code": "998357540",
"country_code": "US",
"telephone_number": "907-966-2110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPARD",
"first_name": "ELISE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00055983",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "PHAP1558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PH00055983",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PHAP1558",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elises@whitesalaska.com",
"affiliation": "N",
"address_1": "705 Halibut Point Rd",
"city": "Sitka",
"state": "AK",
"country_code": "US",
"postal_code": "998357354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.