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LAKE OTIS PHARMACY
NPI 1982625943
Pharmacy - Community/Retail Pharmacy in Anchorage, AK

Active since July 22, 2006
4201 LAKE OTIS PKWY, ANCHORAGE, AK 99508(907) 563-7878(907) 563-7879 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Otis Pharmacy NPPES

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

LAKE OTIS PHARMACY (NPI 1982625943) is a healthcare organization registered as a community/retail pharmacy in Anchorage, Alaska and active in the NPI registry since July 2006. The organization lists Wesley Sutterlin, President, as its authorized official.

NPPES Registry Identity

NPI1982625943
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKE OTIS PHARMACY INC
Location Address4201 LAKE OTIS PKWYAnchorage, AK 99508-5214
Mailing Address4201 Lake Otis PkwyAnchorage, AK 99508-5214 · (907) 563-7878 · Fax (907) 563-7879
Phone(907) 563-7878
Fax(907) 563-7879
Organization SubpartNo
Authorized OfficialWesley SutterlinPresident · (907) 563-7878
Enumeration DateJuly 22, 2006
Last NPPES UpdateMarch 9, 2012
✔ NPI 1982625943 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 · 163
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
4201 LAKE OTIS PKWY, Anchorage, AK 99508
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Other Names 1

Doing Business AsLake Otis Pharmacy

Other Identifiers 2

MedicaidPH0163AK
Other0201525Ncpdp Provider Identification Number

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 Lake Otis Pharmacy Inc's NPI number?

The NPI number for Lake Otis Pharmacy Inc is 1982625943. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Lake Otis Pharmacy.

Where is Lake Otis Pharmacy Inc located?

Lake Otis Pharmacy Inc is located at 4201 Lake Otis Pkwy, Anchorage, AK 99508. The listed phone number is (907) 563-7878.

What is Lake Otis Pharmacy Inc'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 Lake Otis Pharmacy Inc was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.