MANIILAQ HEALTH CENTER PHARMACY (NPI# 1154493666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154493666 |
Entity Type | Organization |
Organization Name | MANIILAQ HEALTH CENTER PHARMACY |
Other Organization Name | MANIILAQ HEALTH CENTER PHARMACY |
Practice Address |
5th St and Grizzley Kotzebue AK 99752 |
Mailing Address |
Po Box 43 Kotzebue AK 99752-0043 |
Practice Telephone | 9074427182 |
Practice Fax Number | 9074427309 |
Enumeration Date | 2006-11-14 |
Last Update Date | 2016-10-13 |
Authorized Official Name | FREDDY KANIKI (PHRM CHIEF) |
Authorized Official Telephone | 9074427336 |
Authorized Official Credential | PHRMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | HS190P | 05 | |
PK | 1996986 | 01 |
Other Name | Type Code |
---|---|
MANIILAQ HEALTH CENTER PHARMACY | Doing Business As Name - Organization |
Street Address |
5TH ST AND GRIZZLEY |
City | KOTZEBUE |
State | AK |
Zip Code | 99752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770103731 | Breanna Rosales | Counselor | 433 5 Th Ave, Kotzebue, AK 99752 | 2020-04-20 |
1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
Find all providers in zip 99752 |
Taxonomy Code | 332800000X |
Grouping | Suppliers |
Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720460652 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3801 University Lake Dr Ste 100, Anchorage, AK 99508-4658 | 2015-06-27 |
1972869071 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1w326, 4315 Diplomacy Drive, Anchorage, AK 99508 | 2012-04-03 |
1194848242 | Searhc Haines Medical Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 131 First Ave South, Haines, AK 99827-1549 | 2007-04-06 |
1366587743 | Scf Rasu Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2007-02-21 |
1881780880 | Searhc - Mte Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 222 Tongass Drive, Sitka, AK 99835 | 2006-10-05 |
1851486153 | Searhc - Juneau Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1200 Salmon Creek Road, Juneau, AK 99801 | 2006-10-03 |
1245605179 | Norton Sound Health Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 189 Airport Road, Unalakleet, AK 99684-0189 | 2015-12-03 |
1760739601 | Southcentral Foundation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2012-08-09 |
1811106271 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-05-22 |
1699983361 | Ketchikan Indian Community Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2007-05-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MANIILAQ HEALTH CENTER PHARMACY.
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.