Active NPI
Deborah Ann Padilla, RPH
- Pharmacist
- Wasilla, AK
National Provider Identifier
1962789347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1753
- Practice address
- 1721 E George Parks Highway
Wasilla, AK 99654 - Phone
- (907) 631-0300
- NPI assigned
- Nov 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1753 | AK | Primary |
| Pharmacist | 183500000X | 28672 | TX | |
| Pharmacist | 183500000X | 12615 | CO |
Addresses
Primary practice location
1721 E George Parks Highway
Wasilla, AK 99654
Mailing address
1721 E George Parks Highway
Wasilla, AK 99654
Phone (907) 631-0300
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1753 | AK | MD | Pharmacist |
| 12615 | CO | MD | Pharmacist |
| 28672 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1962789347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 E GEORGE PARKS HIGHWAY",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-631-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 E GEORGE PARKS HIGHWAY",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-631-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1753",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28672",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "12615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.