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SUSITNA PROFESSIONAL PHARMACY
NPI 1467441808
Pharmacy - Community/Retail Pharmacy in Wasilla, AK

Active since October 18, 2005
1751 E GARDNER WAY, STE G, WASILLA, AK 99654(907) 373-7933(907) 373-7939 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susitna Professional Pharmacy NPPES

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

SUSITNA PROFESSIONAL PHARMACY (NPI 1467441808) is a healthcare organization registered as a community/retail pharmacy in Wasilla, Alaska and active in the NPI registry since October 2005. The organization lists Mary Mundell, Executive Vp, as its authorized official.

NPPES Registry Identity

NPI1467441808
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUSITNA PROFESSIONAL PHARMACY
Location Address1751 E GARDNER WAY, STE GWasilla, AK 99654-6564
Mailing Address1751 E Gardner Way, Ste GWasilla, AK 99654-6564 · (907) 373-7933 · Fax (907) 373-7939
Phone(907) 373-7933
Fax(907) 373-7939
Organization SubpartNo
Authorized OfficialMary MundellExecutive Vp · (907) 373-7933
Enumeration DateOctober 18, 2005
Last NPPES UpdateJuly 26, 2012
✔ NPI 1467441808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AK · 408
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1751 E GARDNER WAY, Wasilla, AK 99654
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Other Names 1

Doing Business AsSusitna Professional Pharmacy

Other Identifiers 2

Other0202553Ncpdp Provider Identification Number
MedicaidPH0266AK

Other Providers at the Same Location NPPES 4

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

JOHN D HUNTER, MD INC
Internal Medicine
1751 E GARDNER WAY, STE D
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-5950
SUSITNA MEDISET SERVICES INC
Pharmacy (Long Term Care Pharmacy)
1751 E GARDNER WAY, STE F
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 352-4306
LISA M COONEY MD
Internal Medicine
1751 E GARDNER WAY, SUITE E
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-1633
RPS SHERGILL MD PLLC
Internal Medicine (Pulmonary Disease)
1751 E GARDNER WAY
WASILLA, AK 99654
Matanuska-Susitna Borough (503) 679-7031

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 Susitna Professional Pharmacy's NPI number?

The NPI number for Susitna Professional Pharmacy is 1467441808. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Susitna Professional Pharmacy located?

Susitna Professional Pharmacy is located at 1751 E Gardner Way Ste G, Wasilla, AK 99654. The listed phone number is (907) 373-7933.

What is Susitna Professional Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Susitna Professional Pharmacy was last updated on July 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.