SEARHC - ALICIA ROBERTS MEDICAL CENTER PHARMACY NPI 1194812024

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Klawock, AK

NPI 1194812024 Organization Indian Health Service/Tribal/Urban India...

About SEARHC - ALICIA ROBERTS MEDICAL CENTER PHARMACY

Searhc - Alicia Roberts Medical Center Pharmacy is a provider established in Klawock, Alaska specializing in indian health service/tribal/urban indian health (i/t/u) pharmacy. The NPI number of Searhc - Alicia Roberts Medical Center Pharmacy is 1194812024 and was assigned on October 2006. The practitioner's primary taxonomy code is 332800000X with license number 113762 (AK). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Daniel Neumeister (Chief Operating Officer)

NPI

1194812024

Provider NameSEARHC - ALICIA ROBERTS MEDICAL CENTER PHARMACY
Provider Location Address13004 KLAWOCK HOLLIS HIGHWAY KLAWOCK, AK 99925
Provider Mailing Address3100 CHANNEL DRIVE STE 300 JUNEAU, AK 99801
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-10-2006
Last Update Date05-31-2017


Primary Taxonomy

Taxonomy Code332800000X
ClassificationIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
TypeSuppliers
License No.113762
License StateAK
Taxonomy DescriptionAn 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.

Business Address

SEARHC - ALICIA ROBERTS MEDICAL CENTER PHARMACY
13004 KLAWOCK HOLLIS HIGHWAY
KLAWOCK, AK
ZIP 99925
Phone: (907) 755-4800
Fax: (907) 755-4806

Get Directions


Mailing Address

SEARHC - ALICIA ROBERTS MEDICAL CENTER PHARMACY
3100 CHANNEL DRIVE STE 300
JUNEAU, AK
ZIP 99801
Phone: (907) 463-4074
Fax: (907) 463-1510



Authorized Official

Authorized Official Name DANIEL NEUMEISTER
Authorized Official TitleCHIEF OPERATING OFFICER
Authorized Official Phone(907) 463-4000

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1333600000XSuppliersPharmacy113762AKNo

Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
PH0025MEDICAID (05)AK
0202604OTHER (01)AK
020027MEDICARE OSCAR/CERTIFICATION (06)AK
TEZ066MEDICARE PIN (08)AK
CL2276MEDICAID (05)AK

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255498614 ROBIN M COPE PA-C
Individual
Physician Assistant13004 KLAWOCK HOLLIS HIGHWAY
KLAWOCK, AK 99925
(907) 755-4800
1396077897 VICTORIA MANN RN
Individual
Registered Nurse13004 KLAWOCK HOLLIS HIGHWAY
KLAWOCK, AK 99925
(907) 755-4800
1841533635 FOREST F ANDERSON CFSW
Individual
Counselor (Mental Health)13004 KLAWOCK HOLLIS HIGHWAY
KLAWOCK, AK 99925
(907) 755-4800
1699811612SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Organization
Dentist (General Practice)13004 KLAWOCK HOLLIS HIGHWAY
KLAWOCK, AK 99925
(907) 755-4800

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.