CARR-GOTTSTEIN FOODS CO (NPI# 1912936956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912936956 |
| Entity Type | Organization |
| Organization Name | CARR-GOTTSTEIN FOODS CO |
| Other Organization Name | SAFEWAY PHARMACY #1832 |
| Practice Address |
90 Sterling Hwy Homer AK 99603-7439 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 9072261060 |
| Practice Fax Number | 9072357245 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER) |
| Authorized Official Telephone | 2083953954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 401 | AK | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PH2051 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0202488 | 01 |
| Other Name | Type Code |
|---|---|
| SAFEWAY PHARMACY #1832 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1891170239 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 109 E Pioneer Dr, Valdez, AK 99686 | 2015-07-28 |
| 1740493451 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 5600 Debarr Rd Ste 100, Anchorage, AK 99504-2300 | 2007-05-08 |
| 1942229976 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | Mile 1907 Seward Hwy, Seward, AK 99664-9800 | 2006-07-19 |
| 1588695399 | Carr-gottstein Foods Co | Pharmacy | 7731 E Northern Lights Blvd, Anchorage, AK 99504-3572 | 2006-07-06 |
| 1104855147 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 5600 Debarr Rd, Anchorage, AK 99504-2304 | 2006-07-02 |
| 1669401600 | Carr-gottstein Foods Co | Pharmacy | 1340 Gambell St, Anchorage, AK 99501-4630 | 2006-07-02 |
| 1659300697 | Carr-gottstein Foods Co | Pharmacy | 1501 Huffman Rd, Anchorage, AK 99515-3596 | 2006-07-02 |
| 1477582419 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2006-07-02 |
| 1386673325 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 3033 Vintage Blvd, Juneau, AK 99801-7109 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CARR-GOTTSTEIN FOODS CO. | 11555 Dublin Canyon Rd, Pleasanton, CA 94588-2815 |
| Street Address |
90 STERLING HWY |
| City | HOMER |
| State | AK |
| Zip Code | 99603-7439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991400 | Joshua Ryan Macks | Pharmacist | 90 Sterling Hwy, Homer, AK 99603-7439 | 2020-10-30 |
| 1508476359 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 90 Sterling Hwy, Homer, AK 99603-7439 | 2020-08-06 |
| 1174040018 | Yein Kim | Pharmacist | 90 Sterling Hwy, Homer, AK 99603-7439 | 2017-08-22 |
| 1659759272 | Nathan Scott | Pharmacist | 90 Sterling Hwy, Homer, AK 99603-7439 | 2015-05-14 |
| 1881975746 | Chelsea Dubbe | Pharmacist | 90 Sterling Hwy, Homer, AK 99603-7439 | 2011-09-06 |
| 1689974180 | Teresa Marie Heilig | Pharmacist | 90 Sterling Hwy, Homer, AK 99603-7439 | 2010-10-30 |
| 1194025098 | Richard Lee Stingley | Pharmacist | 90 Sterling Hwy, Homer, AK 99603-7439 | 2010-10-25 |
| 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 | 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 |
|---|---|---|---|---|
| 1396859286 | Ulmer Mede, Inc. | Pharmacy | 3858 Lake Street, Ste 5, Homer, AK 99603 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487118402 | Ledjha Ekstedt | Pharmacy | 4101 Arctic Blvd Ste B, Anchorage, AK 99503-5702 | 2019-01-23 |
| 1295145233 | Ak Pharmacy Management LLC | Pharmacy | 1867 Airport Way Ste 105, Fairbanks, AK 99701-4054 | 2014-04-29 |
| 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 |
| 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.