CORDOVA COMMUNITY MEDICAL CENTER PHARMACY (CORDOVA COMMUNITY MEDICAL CENTER) NPI 1609395128

Pharmacy (Community/Retail Pharmacy) in Cordova, AK

NPI 1609395128 Organization Pharmacy Community/Retail Pharmacy

About CORDOVA COMMUNITY MEDICAL CENTER PHARMACY (CORDOVA COMMUNITY MEDICAL CENTER)

Cordova Community Medical Center Pharmacy (cordova Community Medical Center) is a provider established in Cordova, Alaska specializing in pharmacy (community/retail pharmacy) . The NPI number of Cordova Community Medical Center Pharmacy (cordova Community Medical Center) is 1609395128 and was assigned on September 2017. The practitioner's primary taxonomy code is 3336C0003X with license number 126180 (AK). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Cordova Community Medical Center Pharmacy. The authorized official of this NPI record is Hannah Joann Sanders (Ceo)

NPI

1609395128

Provider NameCORDOVA COMMUNITY MEDICAL CENTER PHARMACY (CORDOVA COMMUNITY MEDICAL CENTER)
Provider Location Address602 CHASE AVE CORDOVA, AK 99574
Provider Mailing AddressPO BOX 160 CORDOVA, AK 99574
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCORDOVA COMMUNITY MEDICAL CENTER PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date09-15-2017
Last Update Date06-25-2021


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.126180
License StateAK
Taxonomy DescriptionA 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.

Business Address

CORDOVA COMMUNITY MEDICAL CENTER PHARMACY
602 CHASE AVE
CORDOVA, AK
ZIP 99574
Phone: (907) 424-8017
Fax: (907) 424-8020

Get Directions


Mailing Address

CORDOVA COMMUNITY MEDICAL CENTER PHARMACY
PO BOX 160
CORDOVA, AK
ZIP 99574
Phone: (907) 424-8254
Fax: (907) 424-8020



Authorized Official

Authorized Official Name HANNAH JOANN SANDERS
Authorized Official TitleCEO
Authorized Official Phone(907) 424-8200

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
1333600000XSuppliersPharmacyNo

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.

23336L0003XSuppliersPharmacyLong Term Care PharmacyNo

Taxonomy Description: a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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
2171578OTHER (01)
1677242MEDICAID (05)AK

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225062920DR. ALYCE L GARRITY MD
Individual
Emergency Medicine602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1609907393DR. STEPHEN MARK SUNDBY PH.D., LPC, CDC I
Individual
Counselor602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8300
1700045499 STEPHENIE JAMES SAUNDERS
Individual
Counselor (Professional)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8300
1013077080CORDOVA COMMUNITY HOSPITAL
Organization
Pharmacy (Long Term Care Pharmacy)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1861809238 HEIDI VOSS PHARMD
Individual
Pharmacist602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8254
1215035787CORDOVA COMMUNITY MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1225266588CORDOVA COMMUNITY MEDICAL CENTER
Organization
Family Medicine602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000

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.