SOUTH PENNISULA HOSPITAL PHCY (NPI# 1871695270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871695270 |
| Entity Type | Organization |
| Organization Name | SOUTH PENNISULA HOSPITAL PHCY |
| Other Organization Name | SOUTH PENINSULA HOSPITAL PHARMACY |
| Practice Address |
4300 Bartlett St Homer AK 99603-7005 |
| Practice Telephone | 9072350257 |
| Practice Fax Number | 9072350848 |
| Mailing Telephone | 9072350257 |
| Mailing Fax Number | 9072350848 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | MIKE OSTROM (RPH) |
| Authorized Official Telephone | 9072350257 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
232 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1996579 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTH PENINSULA HOSPITAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
4300 BARTLETT ST |
| City | HOMER |
| State | AK |
| Zip Code | 99603-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104808070 | Raymond D. Fowler | Anesthesiology | 4300 Bartlett St, South Penisula Hospital, Homer, AK 99603-7005 | 2005-11-16 |
| 1982229290 | Rachael Brown Kincaid | Nurse Practitioner | 4300 Bartlett St, Homer, AK 99603-7000 | 2020-06-11 |
| 1619521812 | Richard John Kleinleder | Physical Therapy Assistant | 4300 Bartlett St, Homer, AK 99603-7005 | 2019-07-26 |
| 1073167284 | Neil Schott | Physical Therapist | 4300 Bartlett St, Homer, AK 99603 | 2019-07-25 |
| 1366843187 | Valaree Carney | Registered Nurse | 4300 Bartlett St, Homer, AK 99603-7005 | 2014-09-11 |
| 1457751562 | Sandy Kaye Miller | Case Manager/Care Coordinator | 4300 Bartlett St, Homer, AK 99603 | 2014-08-26 |
| 1003248162 | Michelle Hosford | Case Manager/Care Coordinator | 4300 Bartlett St, Homer, AK 99603-7005 | 2013-07-31 |
| 1437433620 | Amy Louise Christiansen | Registered Nurse | 4300 Bartlett St, Attn:a. Christiansen Rn @community Health Services, Homer, AK 99603-7005 | 2011-10-05 |
| 1093968372 | South Peninsula Hospital, Inc | Medicare Defined Swing Bed Unit | 4300 Bartlett St, Homer, AK 99603-7005 | 2008-10-30 |
| 1417117086 | Sarah L Roberts | Family Medicine | 4300 Bartlett St, Homer, AK 99603-7005 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1447701966 | Fairbanks Memorial Hospital, LLC | Pharmacy | 1650 Cowles St Dept 41a, Fairbanks, AK 99701-5907 | 2016-10-19 |
Please comment or provide details below to improve the information on SOUTH PENNISULA HOSPITAL PHCY.
| 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.