Carr-Gottstein Foods Co
Organization Active NPI Community/Retail Pharmacy · Juneau, AK
NPI 1982214730 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1982214730
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CARR-GOTTSTEIN FOODS CO
- Practice address
- 3033 Vintage Blvd
Juneau, AK 99801-7109 - Phone
- (907) 523-2060
- Fax
- (907) 523-2019
- NPI assigned
- Aug 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Kathy Giannakopoulos
- Title
- Enrollments Manager
- Phone
- (208) 395-3954
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Carr-Gottstein Foods Co
Locations
3033 Vintage Blvd
Juneau, AK 99801
Phone (907) 523-2060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
3033 Vintage Blvd
Juneau, AK 99801-7109
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone (208) 395-6200
Other names
- Safeway Pharmacy #1820
NPI Registry JSON
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596672000000",
"number": "1982214730",
"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",
"telephone_number": "208-395-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 VINTAGE BLVD",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017109",
"telephone_number": "907-523-2060",
"fax_number": "907-523-2019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARR-GOTTSTEIN FOODS CO",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"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": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Safeway Pharmacy #1820",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Juneau, AK
- Capital Cab Inc.
- Kelsi Capizzi
- Denise Carl
- Jeremiah Carlson
- Carr-Gottstein Foods Co
- Marie E Carr
- Cassandra Elaine Carrell
- Lissette Carrera
- Yolanda Carrillo
- Cody Carroll
All providers in Juneau, AK · Community/Retail Pharmacy in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. 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.