Active NPI
Nayeon Kwon, PHARMD
- Pharmacist
- Fairbanks, AK
National Provider Identifier
1992699417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 239166
- Practice address
- 3627 Airport Way Ste 1
Fairbanks, AK 99709-4776 - Phone
- (907) 374-4060
- NPI assigned
- Jun 7, 2025
- 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 | 8181104 | ID | |
| Pharmacist | 183500000X | 239166 | AK | Primary |
Addresses
Primary practice location
3627 Airport Way Ste 1
Fairbanks, AK 99709-4776
Mailing address
1055 Turnagin Loop
Fairbanks, AK 99701-1420
Phone (857) 265-4156
Other practice location 1
301 N Santa Claus Ln
North Pole, AK 99705-6081
Phone (907) 490-2760
Other practice location 2
30 College Rd
Fairbanks, AK 99701-1759
Phone (907) 374-4160
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 |
|---|---|---|---|
| 239166 | AK | MD | Pharmacist |
| 8181104 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1992699417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 TURNAGIN LOOP",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011420",
"telephone_number": "857-265-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3627 AIRPORT WAY STE 1",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094776",
"telephone_number": "907-374-4060"
}
],
"practiceLocations": [
{
"address_1": "301 N Santa Claus Ln",
"address_purpose": "LOCATION",
"city": "North Pole",
"state": "AK",
"postal_code": "997056081",
"country_code": "US",
"telephone_number": "907-490-2760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 College Rd",
"address_purpose": "LOCATION",
"city": "Fairbanks",
"state": "AK",
"postal_code": "997011759",
"country_code": "US",
"telephone_number": "907-374-4160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWON",
"first_name": "NAYEON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-07",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "8181104",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "239166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.