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PROVIDENCE HEALTH & SERVICES -WASHINGTON
NPI 1083695324
Pharmacy - Institutional Pharmacy in Kodiak, AK

Active since November 11, 2005
1915 E REZANOF DR, KODIAK, AK 99615(907) 486-9550(907) 486-9553 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2025, Mar 28, 2018, Jun 24, 2016 (3 updates tracked since 2016).

About Providence Health & Services -washington NPPES

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

PROVIDENCE HEALTH & SERVICES -WASHINGTON (NPI 1083695324) is a healthcare organization registered as an institutional pharmacy in Kodiak, Alaska and active in the NPI registry since November 2005. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1083695324
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NamePROVIDENCE HEALTH & SERVICES -WASHINGTON
Location Address1915 E REZANOF DRKodiak, AK 99615-6602
Mailing AddressPo Box 3706Portland, OR 97208-3706
Phone(907) 486-9550
Fax(907) 486-9553
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateNovember 11, 2005
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1083695324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in AK · PHAR355
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1915 E REZANOF DR, Kodiak, AK 99615
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Other Identifiers 1

Other1997047Pk

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.

PROVIDENCE HEALTH & SERVICES WASHINGTON
General Acute Care Hospital (Critical Access)
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-3281
GENE L ROBINSON MD
Surgery
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9580
MRS. ANN-MARIE WEST RN
Home Health
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9545
KODIAK LIFE DIAGNOSTIC IMAGING, INC
Clinic/Center (Radiology)
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 512-9559
DR. STEPHANIE LOUISE HURLEY PHARMD
Pharmacist
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9550
MR. JOHN ARTHUR MCENTEE RPH
Pharmacist
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9549
CYNTHIA M PARENT
Nurse Anesthetist, Certified Registered
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 223-7513
MRS. STEPHANIE MATHIS LOWDERMILK RN, BS, BLSI
Home Health
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2457

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 Providence Health & Services -Washington's NPI number?

The NPI number for Providence Health & Services -Washington is 1083695324. It was assigned to this organization in the NPPES registry on November 11, 2005.

Where is Providence Health & Services -Washington located?

Providence Health & Services -Washington is located at 1915 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-9550.

What is Providence Health & Services -Washington's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services -Washington was last updated on May 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.