Individual provider Active NPI

Danielle King, PHARMD

  • Pharmacist
  • Homer, AK
National Provider Identifier
1952602591
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1957 Issued in AK
Practice address
3858 Lake St Ste 5
Homer, AK 99603-7682
Phone
(907) 235-7760
Fax
(907) 235-7013
NPI assigned
Nov 13, 2010
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHAP1957 AK
Pharmacist 183500000X 1957 AK Primary

Addresses

Primary practice location

3858 Lake St Ste 5
Homer, AK 99603-7682

Mailing address

3858 Lake St Ste 5
Homer, AK 99603-7682
Phone (907) 235-7760

Other practice location 1

3627 Airport Way
Fairbanks, AK 99709-4779
Phone (907) 374-4060

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

LicenseStateTypeSpecialty
1957AKMDPharmacist
PHAP1957AKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ulmer Mede, Inc. PastSince Jun 15, 2021 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": "1289606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1952602591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 LAKE ST STE 5",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037682",
            "telephone_number": "907-235-7760",
            "fax_number": "907-235-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 LAKE ST STE 5",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037682",
            "telephone_number": "907-235-7760",
            "fax_number": "907-235-7013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3627 Airport Way",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997094779",
            "country_code": "US",
            "telephone_number": "907-374-4060",
            "fax_number": "907-374-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "DANIELLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-13",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "PHAP1957",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "1957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 2021; 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.