PROFESSIONAL PHARMACY LLC (NPI# 1841201415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841201415 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PHARMACY LLC |
| Other Organization Name | ALASKA FAMILY PHARMACY |
| Practice Address |
1001 Noble St Fairbanks AK 99701-4948 |
| Mailing Address |
167 Santa Claus Lane North Pole AK 99705 |
| Practice Telephone | 9074522556 |
| Practice Fax Number | 9074518314 |
| Mailing Telephone | 9074888555 |
| Mailing Fax Number | 9074888556 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | DR. LEIF HOLM (PRESIDENT) |
| 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 |
474 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1571025 | 05 |
| Other Name | Type Code |
|---|---|
| Alaska Family Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043243272 | Professional Pharmacy LLC | Pharmacy | 3124 Colorado Lane, #400, Bismarck, ND 58503 | 2006-07-09 |
| 1811501679 | Professional Pharmacy LLC | Pharmacy | 1001 Noble St, Fairbanks, AK 99701-4948 | 2020-08-31 |
| 1306284617 | Professional Pharmacy LLC | Pharmacy | 900 Straits Tpke, Bldg #2, 1st Floor, Middlebury, CT 06762-2800 | 2013-06-08 |
| 1205146859 | Professional Pharmacy LLC | Pharmacy | 1001 Noble St, Fairbanks, AK 99701-4922 | 2010-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PROFESSIONAL PHARMACY LLC | 900 Straits Tpke., Ste. 1-h, Bldg. #2, Middlebury, CT 06762 |
| Street Address |
1001 NOBLE ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239524 | David Kent Zetterman | Family Medicine | 1001 Noble St, Fairbanks, AK 99701-4922 | 2005-07-19 |
| 1811501679 | Professional Pharmacy LLC | Pharmacy | 1001 Noble St, Fairbanks, AK 99701-4948 | 2020-08-31 |
| 1942862149 | Jaime Nicole Sawchuk | Counselor | 1001 Noble St, Fairbanks, AK 99701-4948 | 2019-07-08 |
| 1154821593 | Shelby A Braun | Dietitian, Registered | 1001 Noble St, Fairbanks, AK 99701-4948 | 2018-02-12 |
| 1417492463 | Nancy Davidian | Registered Nurse | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-12-29 |
| 1437691771 | Katie Garrity | Dietitian, Registered | 1001 Noble St, Suite 450, Fairbanks, AK 99701-4948 | 2016-11-16 |
| 1922559558 | Tanana Valley Clinic LLC | Clinic/Center | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-10-19 |
| 1801240221 | Heather Powers | Dietitian, Registered | 1001 Noble St, Fairbanks, AK 99701-4948 | 2016-04-21 |
| 1023492642 | Jennifer Ribar | Neuromusculoskeletal Medicine & OMM | 1001 Noble St, Fairbanks, AK 99701-4948 | 2015-07-14 |
| 1013399708 | Rebekah L. Burket | Counselor | 1001 Noble St, Fairbanks, AK 99701-4948 | 2015-06-18 |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1083914931 | Prescription Center LLC | Pharmacy | 1919 Lathrop St, Suite 109, Fairbanks, AK 99701-5937 | 2010-10-26 |
| 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 |
| 1801852769 | Prescription Center LLC | Pharmacy | 1919 Lathrop St, Suite 109, Fairbanks, AK 99701-5937 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.