NPIMap

Organization Active NPI

South Pennisula Hospital Phcy

Doing business as South Peninsula Hospital Pharmacy

  • Institutional Pharmacy
  • Homer, AK
National Provider Identifier
1871695270
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
232 Issued in AK
Legal business name
SOUTH PENNISULA HOSPITAL PHCY
Doing business as
South Peninsula Hospital Pharmacy
Practice address
4300 Bartlett St
Homer, AK 99603-7005
Phone
(907) 235-0257
Fax
(907) 235-0848
NPI assigned
Sep 5, 2006
Last updated
Feb 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Mike Ostrom
Title
RPH
Phone
(907) 235-0257

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 232 AK Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

4300 Bartlett St
Homer, AK 99603-7005

Mailing address

4300 Bartlett St
Homer, AK 99603-7005
Phone (907) 235-0257

Other identifiers 1

IdentifierTypeStateIssuer
1996579OtherPK

Other names 1

  • SOUTH PENINSULA HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Peninsula Hosp4 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.

Locations

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1871695270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037005",
            "telephone_number": "907-235-0257",
            "fax_number": "907-235-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037005",
            "telephone_number": "907-235-0257",
            "fax_number": "907-235-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PENNISULA HOSPITAL PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "OSTROM",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "907-235-0257"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "AK",
            "license": "232",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996579",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH PENINSULA HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH PENINSULA HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.