PROVIDENCE HEALTH & SERVICES -WASHINGTON
NPI 1083695324
Pharmacy - Institutional Pharmacy in Kodiak, AK
NPI Status: Active since November 11, 2005
Contact Information
1915 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-9550
Fax: (907) 486-9553
- Organization
- Pharmacy
- Institutional Pharmacy
- CLIA Number: 02D0640989
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 08-22-2026
About PROVIDENCE HEALTH & SERVICES -WASHINGTON
This page provides the complete NPI Profile along with additional information for Providence Health & Services -washington, a provider established in Kodiak, Alaska operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1083695324 assigned on November 2005. The practitioner's primary taxonomy code is 3336I0012X with license number PHAR355 (AK). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)
- NPI
- 1083695324
- Provider Name
- PROVIDENCE HEALTH & SERVICES -WASHINGTON
- Entity Type
- Organization
- Location Address
- 1915 E REZANOF DR KODIAK, AK 99615
- Location Phone
- (907) 486-9550
- Location Fax
- (907) 486-9553
- Mailing Address
- PO BOX 3706 PORTLAND, OR 97208
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-11-2005
- Last Update Date
- 05-15-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Institutional Pharmacy
- Taxonomy Code
- 3336I0012X
- Type
- Suppliers
- License No.
- PHAR355
- License State
- AK
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336L0003X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1997047 | OTHER (01) | PK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 02D0640989
- Facility Type
- Hospital
- Certificate Effective Date
- August 23, 2024
- Certificate Expiration Date
- August 22, 2026
- Laboratory Director
- JESSE STEFFAN BOND
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Providence Health & Services -washington on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083695324, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KODIAK, AK 99615
KODIAK, AK 99615
KODIAK, AK 99615
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083695324, enumerated as an "organization" on November 11, 2005.
The provider is located at 1915 E REZANOF DR KODIAK, AK 99615 and the phone number is (907) 486-9550.
Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
