BANNER HEALTH NPI 1003008277

Pharmacy (Home Infusion Therapy Pharmacy) in Fairbanks, AK

About BANNER HEALTH

Banner Health is a provider in Fairbanks, AK. The NPI number assigned to this provider is 1003008277. The practitioner's primary taxonomy code is Pharmacy (3336H0001X). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Fairbanks Infusion Pharmacy.

NPI1003008277 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameBANNER HEALTH
Provider Location Address1650 COWLES ST DEPT 41B FAIRBANKS, AK 99701 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1650 COWLES ST DEPT 41B FAIRBANKS, AK 99701 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameFAIRBANKS INFUSION PHARMACY Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date08-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-13-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

BANNER HEALTH
1650 COWLES ST
DEPT 41B
FAIRBANKS, AK
ZIP 99701
Phone: (907) 458-5621
Fax: (907) 458-5622
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Mailing Address

BANNER HEALTH
1650 COWLES ST
DEPT 41B
FAIRBANKS, AK
ZIP 99701
Phone: (907) 458-5621
Fax: (907) 458-5622

Primary Taxonomy

Taxonomy Code3336H0001X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPharmacy
TypeSuppliers
SpecializationHome Infusion Therapy Pharmacy
License No.423
License StateAK
Taxonomy DescriptionPharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

Authorized Official

Authorized Official NameMR. JOHN EDWARD COTTER RPH Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleDIRECTOR OF PHARMACY
Authorized Official Phone(907) 458-5621

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
BF9516191OTHER (01)
0227721OTHER (01)
423OTHER (01)AK
PH7755MEDICAID (05)AK

Map Location


BANNER HEALTH address is 1650 COWLES ST DEPT 41B FAIRBANKS, AK 99701

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043207533 MARK O SIMON MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5556
1154373769 ANDREW JOHN EVANGER M.D.
Individual
Spec/Tech, Pathology1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5650
1164472742 SCOTT LAWRENCE CANNON M.D.
Individual
Spec/Tech, Pathology1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5650
1174510663 CAROL J PHILLIPS MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
1184611519 SUSAN J TATE MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
1255302717DR. ROMEL C WRENN M.D.
Individual
Internal Medicine (Interventional Cardiology)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-6450
1275529109EMERGENCY MEDICINE ASSOCIATES PC
Organization
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
1306830690 JOHN DAVID GILISMANN MD
Individual
Psychiatry & Neurology (Psychiatry)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5525
1316997794PATHOLOGY CONSULTANTS INC.
Organization
Clinical Medical Laboratory1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5650
1326035759 ART J STRAUSS MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST FAIRBANKS
FAIRBANKS, AK 99701
(907) 458-5555
1326035809DR. MARIA EUGENIA MANDICH MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5556
1376538728 VICTOR CHARLES BELL MD
Individual
Psychiatry & Neurology (Psychiatry)1650 COWLES ST FAIRBANKS MEMORIAL HOSPITAL
FAIRBANKS, AK 99701
(907) 458-5525
1417942434 JACK LEVERN DODD MD
Individual
Psychiatry & Neurology (Psychiatry)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5525
1447247770 MICHAEL REX BURTON MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
1447247929 KENNETH DOUGLAS GLAESER MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
1629052899 EGBERT KAMSTRA MD
Individual
Psychiatry & Neurology (Psychiatry)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5525
1629077938 OWEN QUIGLEY HANLEY MD
Individual
Internal Medicine1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5680
1720052756 MICHAEL WHEELIS MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
1841287273 BRIAN A TANSKY MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5556
1972587145 ROBERT DAVID BECK MD
Individual
Orthopaedic Surgery1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5525