FAIRBANKS INFUSION PHARMACY (BANNER HEALTH) NPI 1003008277

Pharmacy (Home Infusion Therapy Pharmacy) in Fairbanks, AK

NPI 1003008277 Organization Pharmacy Home Infusion Therapy Pharmacy

About FAIRBANKS INFUSION PHARMACY (BANNER HEALTH)

Fairbanks Infusion Pharmacy (banner Health) is a provider established in Fairbanks, Alaska specializing in pharmacy (home infusion therapy pharmacy) . The NPI number of Fairbanks Infusion Pharmacy (banner Health) is 1003008277 and was assigned on August 2007. The practitioner's primary taxonomy code is 3336H0001X with license number 423 (AK). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Fairbanks Infusion Pharmacy. The authorized official of this NPI record is Mr. John Edward Cotter Rph (Director Of Pharmacy)

NPI

1003008277

Provider NameFAIRBANKS INFUSION PHARMACY (BANNER HEALTH)
Provider Location Address1650 COWLES ST DEPT 41B FAIRBANKS, AK 99701
Provider Mailing Address1650 COWLES ST DEPT 41B FAIRBANKS, AK 99701
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFAIRBANKS INFUSION PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date08-13-2007
Last Update Date08-13-2007


Primary Taxonomy

Taxonomy Code3336H0001X
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.

Business Address

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

Get Directions


Mailing Address

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



Authorized Official

Authorized Official NameMR. JOHN EDWARD COTTER RPH
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

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1629077938 OWEN QUIGLEY HANLEY MD
Individual
Internal Medicine1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5680
1376538728 VICTOR CHARLES BELL MD
Individual
Psychiatry & Neurology (Psychiatry)1650 COWLES ST FAIRBANKS MEMORIAL HOSPITAL
FAIRBANKS, AK 99701
(907) 458-5525
1447247929 KENNETH DOUGLAS GLAESER MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
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
1174510663 CAROL J PHILLIPS MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
1043207533 MARK O SIMON MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5556
1841287273 BRIAN A TANSKY MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5556
1447247770 MICHAEL REX BURTON MD
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
1972587145 ROBERT DAVID BECK MD
Individual
Orthopaedic Surgery1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5525
1255302717DR. ROMEL C WRENN M.D.
Individual
Internal Medicine (Interventional Cardiology)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-6450
1316997794PATHOLOGY CONSULTANTS INC.
Organization
Clinical Medical Laboratory1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5650
1164472742 SCOTT LAWRENCE CANNON M.D.
Individual
Specialist/Technologist, Pathology1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5650
1154373769 ANDREW JOHN EVANGER M.D.
Individual
Specialist/Technologist, Pathology1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5650
1881646495 MARK ANDREW BUTCHER M.D.
Individual
Specialist/Technologist, Pathology1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5650
1669410767FAIRBANKS MEMORIAL HOSPITAL
Organization
Durable Medical Equipment & Medical Supplies1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5421
1023046034 BRIDGET HUMPHRIES MD
Individual
Anesthesiology1650 COWLES ST
FAIRBANKS, AK 99701
(800) 945-9877
1124056734RADIOLOGY CONSULTANTS A PROFESSIONAL CORPORATION
Organization
Radiology (Diagnostic Radiology)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5660
1750307294 MARION CONSTANCE MCDEVITT DO
Individual
Emergency Medicine (Emergency Medical Services)1650 COWLES ST
FAIRBANKS, AK 99701
(907) 458-5555
1619997905 WILLIAM FRANKLIN STODDARD MD
Individual
Anesthesiology1650 COWLES ST
FAIRBANKS, AK 99701
(800) 945-9877

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.