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KODIAK AREA NATIVE ASSOCIATION PHARMACY
NPI 1003973041
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Kodiak, AK

Active since January 02, 2007CLIA 02D0641002 · Waiver
3449 E REZANOF DR, KODIAK, AK 99615(907) 486-9860(907) 486-9895 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2023, Jun 5, 2023, Jun 2, 2023 and 1 more (4 updates tracked since 2023).

About Kodiak Area Native Association Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODIAK AREA NATIVE ASSOCIATION PHARMACY (NPI 1003973041) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Kodiak, Alaska and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Michael Pfeffer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003973041
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameKODIAK AREA NATIVE ASSOCIATION PHARMACY
Location Address3449 E REZANOF DRKodiak, AK 99615-6952
Mailing Address3449 E Rezanof DrKodiak, AK 99615-6952 · (907) 486-9860 · Fax (907) 486-9895
Phone(907) 486-9860
Fax(907) 486-9895
Organization SubpartNo
Authorized OfficialMichael PfefferCeo · (907) 486-9801
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 25, 20234 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1003973041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
License✔ Licensed in AK · 107
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
3449 E REZANOF DR, Kodiak, AK 99615
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Other Identifiers 3

Medicaid1028490AK
Other107AK · State Pharmacy License #
Other0201347Ncpdp Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D0641002

Kodiak Area Native Association Kana Main · Kodiak, AK
Active · expires Nov 1, 2026
CLIA Number02D0641002
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorAshley Frost
Laboratory Phone(907) 486-9847
Laboratory LocationKodiak Area Native Association Kana Main3449 E Rezanof Drive, Kodiak, AK 99615
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNE MARIE WARD CHA-P
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
MICHAEL HANDRICKS
Counselor
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9824
ALISON STARR PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
JORDAN BEARD
Counselor (Professional)
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 942-0672
MARGARET KAVANAUGH
Case Manager/Care Coordinator
3449 E REZANOF DR, INFANT LEARNING PROGRAM
KODIAK, AK 99615
Kodiak Island Borough (907) 486-1374
IRENE RAE NELSON
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
PAIGE BUER PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
MR. PHILLIP ANTHONY JORDINELLI CDCS, NCACI, SAP
Counselor (Addiction (Substance Use Disorder))
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kodiak Area Native Association Pharmacy's NPI number?

The NPI number for Kodiak Area Native Association Pharmacy is 1003973041. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Kodiak Area Native Association Pharmacy located?

Kodiak Area Native Association Pharmacy is located at 3449 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-9860.

What is Kodiak Area Native Association Pharmacy's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Does Kodiak Area Native Association Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D0641002) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kodiak Area Native Association Pharmacy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 37 other insurers list Kodiak Area Native Association Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kodiak Area Native Association Pharmacy was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.