Active NPI
Carr-Gottstein Foods Co
- Community/Retail Pharmacy
- Anchorage, AK
National Provider Identifier
1881606754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CARR-GOTTSTEIN FOODS CO
- Practice address
- 5600 Debarr Rd
Suite 8
Anchorage, AK 99504-2300 - Phone
- (800) 730-2627
- Fax
- (907) 339-2919
- NPI assigned
- Aug 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Giannakopoulos
- Title
- Enrollments Manager
- Phone
- (208) 395-3954
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 361 | AK | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
5600 Debarr Rd
Suite 8
Anchorage, AK 99504-2300
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202046 | Other | NCPDP | |
| PH0261 | Medicaid | AK |
Other names 1
- ALASKA MANAGED CARE PHARMACY #1829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040820000379 | TX | Part B Supplier - Centralized Flu Biller | 2860466489 |
18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boise, ID |
Other NPIs on the same Medicare enrollment 16
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
5600 Debarr Rd
Ste 8
Anchorage, AK 99504
Phone (800) 730-2627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583280000000",
"number": "1881606754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E PARKCENTER BLVD",
"city": "BOISE",
"state": "ID",
"postal_code": "837063940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 DEBARR RD",
"address_2": "SUITE 8",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995042300",
"telephone_number": "800-730-2627",
"fax_number": "907-339-2919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARR-GOTTSTEIN FOODS CO",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A",
"authorized_official_last_name": "GIANNAKOPOULOS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "ENROLLMENTS MANAGER",
"authorized_official_telephone_number": "208-395-3954"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AK",
"license": "361",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0202046",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PH0261",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ALASKA MANAGED CARE PHARMACY #1829",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.