Active NPI
Edward Bako, R.PH.
- Pharmacist
- Anchorage, AK
National Provider Identifier
1992984199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1514
- Practice address
- 4501 Business Park Blvd
Building L, Suite 24
Anchorage, AK 99503-7119 - Phone
- (907) 334-2654
- Fax
- (907) 561-1684
- NPI assigned
- Oct 24, 2007
- Sex
- Male
- 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 | 1514 | AK | Primary |
| Pharmacist | 183500000X | 03-1-20810 | OH |
Addresses
Primary practice location
4501 Business Park Blvd
Building L, Suite 24
Anchorage, AK 99503-7119
Mailing address
4501 Business Park Blvd
Building L, Suite 24
Anchorage, AK 99503-7119
Phone (907) 334-2654
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 |
|---|---|---|---|
| 1514 | AK | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1992984199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 BUSINESS PARK BLVD",
"address_2": "BUILDING L, SUITE 24",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995037119",
"telephone_number": "907-334-2654",
"fax_number": "907-561-1684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 BUSINESS PARK BLVD",
"address_2": "BUILDING L, SUITE 24",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995037119",
"telephone_number": "907-334-2654",
"fax_number": "907-561-1684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKO",
"first_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1514",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-1-20810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.