Sonja Marie Foutty, RPH
Individual provider Active NPI Pharmacist · Kenai, AK
NPI 1922309459 · NPPES record last updated Nov 15, 2010
Key facts
- NPI
- 1922309459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1182 (AK)
- Practice address
- 10576 Kenai Spur Hwy
Kenai, AK 99611-7811 - Phone
- (907) 283-6360
- NPI assigned
- Nov 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1182 | AK | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1182 | AK | Yes |
Addresses
Primary practice location
10576 Kenai Spur Hwy
Kenai, AK 99611-7811
Mailing address
10576 Kenai Spur Hwy
Kenai, AK 99611-7811
Phone (907) 283-6360
Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.