ISLAND PHARMACY INC (NPI# 1881776664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881776664 |
| Entity Type | Organization |
| Organization Name | ISLAND PHARMACY INC |
| Practice Address |
3526 Tongass Ave Ketchikan AK 99901-5635 |
| Practice Telephone | 9072256186 |
| Mailing Telephone | 9072256186 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | BRUCE CHRISTENSEN (OWNER) |
| Authorized Official Telephone | 9072256186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 66 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PH0066 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0200496 | 01 | |
| AK | MS0066 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
| 1629315221 | Island Pharmacy Inc | Pharmacy | 300 W Lehigh Ave, Philadelphia, PA 19133-3107 | 2013-01-16 |
| 1487772661 | Island Pharmacy Inc | Pharmacy | 2330 Palm Ridge Rd, Ste 12, Sanibel, FL 33957-3280 | 2007-03-27 |
| 1689744070 | Island Pharmacy Inc | Pharmacy | 1841 Coney Island Ave, Brooklyn, NY 11230-6512 | 2006-11-09 |
| 1225143266 | Island Pharmacy Inc | Pharmacy | 210 S Hwy 64, Manteo, NC 27954 | 2006-08-20 |
| Street Address |
3526 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110235 | Kalli Kline | Pharmacist | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2020-10-01 |
| 1396393567 | Nancy Bright | Pharmacist | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2019-08-29 |
| 1790337103 | Barry Delano Christensen | Pharmacist | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2019-07-15 |
| 1255857702 | Torrie Jayne Wolery | Pharmacist | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316233570 | Tribal House Pharmacy | Pharmacy | 300 Front St, Ketchikan, AK 99901-6418 | 2011-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851951 | Bernie's Pharmacy Inc | Pharmacy | 4100 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5230 | 2020-11-03 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1710480009 | Girdwood Drug Inc | Pharmacy | 158 Holmgren, Ste 103, Girdwood, AK 99587 | 2018-03-13 |
| 1962900100 | Copper River Native Association | Pharmacy | Mile 111.5 Richardson Highway, Glennallen, AK 99588 | 2018-01-23 |
| 1558894527 | Alaska Family Pharmacy Healy LLC | Pharmacy | 248.1 Mile Parks Highway, Healy, AK 99743 | 2017-04-06 |
| 1538610050 | Pharmacy Partners, LLC | Pharmacy | 3190 E Meridian Park Loop Ste 110, Wasilla, AK 99654-7422 | 2016-10-19 |
| 1164977591 | Pk Rx LLC | Pharmacy | 1035 W Fireweed Ln, Anchorage, AK 99503-1701 | 2016-08-15 |
| 1679931059 | Alaska Native Tribal Health Consortium | Pharmacy | 3900 Ambassador Dr Ste 311, Anchorage, AK 99508-5922 | 2016-02-01 |
| 1992033575 | Frontier Group Inc | Pharmacy | 2217 E Tudor Rd Ste 18, Anchorage, AK 99507-1068 | 2009-11-19 |
| 1376757310 | Three Bears Alaska Inc. | Pharmacy | 8151 E Palmer Wasilla Hwy, Palmer, AK 99645-8468 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
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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.