PRESCRIPTION CENTER LLC (NPI# 1083914931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083914931 |
| Entity Type | Organization |
| Organization Name | PRESCRIPTION CENTER LLC |
| Other Organization Name | PRESCRIPTION CENTER |
| Practice Address |
1919 Lathrop St Suite 109 Fairbanks AK 99701-5937 |
| Mailing Address |
167 S Santa Claus Ln North Pole AK 99705-7702 |
| Practice Telephone | 9074521514 |
| Mailing Telephone | 9074888555 |
| Mailing Fax Number | 9074888556 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | DR. LEIF JOSEPH HOLM (VICE-PRESIDENT/PHARMACIST) |
| Authorized Official Telephone | 9074888555 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
473 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | ALASKA PHARMACY LICENSE | 473 | 01 |
| Other Name | Type Code |
|---|---|
| Prescription Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267989 | Prescription Center LLC | Pharmacy | 1919 Lathrop St Ste 109, Fairbanks, AK 99701-5937 | 2020-02-20 |
| 1801852769 | Prescription Center LLC | Pharmacy | 1919 Lathrop St, Suite 109, Fairbanks, AK 99701-5937 | 2006-04-20 |
| Street Address |
1919 LATHROP ST SUITE 109 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774299 | Letha C Archer | Pediatrics | 1919 Lathrop St, Suite 100, Fairbanks, AK 99701-5937 | 2005-07-18 |
| 1245708668 | Tanana Valley Clinic LLC | Clinic/Center | 1919 Lathrop St, Fairbanks, AK 99701-5937 | 2018-11-03 |
| 1275084626 | Jeffrey W. Kilgore Dmd PC | Dentist | 1919 Lathrop St, Ste: 211, Fairbanks, AK 99701-5937 | 2016-10-20 |
| 1992256341 | Otter Dental | Dentist | 1919 Lathrop St, Suite 211, Fairbanks, AK 99701-5937 | 2016-10-20 |
| 1467909218 | Rebecca Rengel | Physical Therapist | 1919 Lathrop St, Ste 123, Fairbanks, AK 99701-5937 | 2016-09-08 |
| 1538613203 | Brent Little | Physical Therapist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2016-08-10 |
| 1396298626 | Nicholas Nzioka Ndetti Jr. | Pharmacist | 1919 Lathrop St, Suite 109, Fairbanks, AK 99701-5937 | 2016-08-03 |
| 1366829699 | Karolina Priebe | Nurse Practitioner | 1919 Lathrop St, Suite 101, Fairbanks, AK 99701-5937 | 2015-05-06 |
| 1124405618 | David Boyd | Specialist/Technologist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2015-05-04 |
| 1679903140 | Heidi Wood | Physical Therapist | 1919 Lathrop St, #123, Fairbanks, AK 99701-5937 | 2013-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1295145233 | Ak Pharmacy Management LLC | Pharmacy | 1867 Airport Way Ste 105, Fairbanks, AK 99701-4054 | 2014-04-29 |
| 1699259200 | Costco Wholesale Corporation | Pharmacy | 48 College Rd, Fairbanks, AK 99701-1706 | 2018-09-19 |
| 1083165740 | Fairbanks Memorial Hospital, LLC | Pharmacy | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2016-10-18 |
| 1205146859 | Professional Pharmacy LLC | Pharmacy | 1001 Noble St, Fairbanks, AK 99701-4922 | 2010-10-18 |
| 1306952247 | Fairbanks Memorial Hospital | Pharmacy | 1650 Cowles St, Dept 41 C, Fairbanks, AK 99701-5907 | 2006-08-22 |
| 1841201415 | Professional Pharmacy LLC | Pharmacy | 1001 Noble St, Fairbanks, AK 99701-4948 | 2006-08-10 |
| 1801852769 | Prescription Center LLC | Pharmacy | 1919 Lathrop St, Suite 109, Fairbanks, AK 99701-5937 | 2006-04-20 |
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|---|---|---|---|---|
| 1487118402 | Ledjha Ekstedt | Pharmacy | 4101 Arctic Blvd Ste B, Anchorage, AK 99503-5702 | 2019-01-23 |
| 1750708657 | Genoa Healthcare, LLC | Pharmacy | 4020 Folker St Ste 5, Anchorage, AK 99508-5321 | 2014-03-28 |
| 1346679875 | Three Bears Alaska, Inc | Pharmacy | 3950 S Knik Goose Bay Rd, Wasilla, AK 99623-5008 | 2013-11-05 |
| 1285965772 | Walmart Inc. | Pharmacy | 10096 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2010-01-22 |
| 1447408893 | Target Corporation and Subsidiaries | Pharmacy | 1801 E Parks Hwy, Wasilla, AK 99654-7350 | 2008-08-28 |
| 1356599708 | Target Corporation and Subsidiaries | Pharmacy | 1200 N Muldoon Rd Ste F, Anchorage, AK 99504-6103 | 2008-08-28 |
| 1053522482 | Juneau Drug At Miners Cove | Pharmacy | 700 S. Franklin St., Juneau, AK 99801 | 2007-05-25 |
| 1215080502 | Downtown Drugstore | Pharmacy | 300 Front St, Ketchikan, AK 99901-6418 | 2007-01-19 |
| 1881776664 | Island Pharmacy Inc | Pharmacy | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2006-10-20 |
| 1679655096 | Village Pharmacy of Valdez | Pharmacy | Pioneer and Meals Sts., Valdez, AK 99686 | 2006-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.