Active NPI
Danielle King, PHARMD
- Pharmacist
- Homer, AK
National Provider Identifier
1952602591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1957
- 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, 2021
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1957 | AK | MD | Pharmacist |
| PHAP1957 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ulmer Mede, Inc. | 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": "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.