Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

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: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, May 15, 2025, Mar 28, 2018 and 1 more (4 updates tracked since 2016).

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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 31001 - 4166Pasadena, CA 91110-4166

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 UpdateNovember 6, 20264 updates tracked since enumeration

NPPES CertifiedNovember 6, 2026

✔ 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 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)