SUSITNA PROFESSIONAL PHARMACY
NPI 1467441808
Pharmacy, Mail Order Pharmacy in Wasilla,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 18, 2005

Contact Information

1751 E Gardner Way
Wasilla,
Post Code: 99654
Phone: (907) 373-7933
Fax: (907) 373-7939

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Susitna Professional Pharmacy in Wasilla - Pharmacy, Mail Order Pharmacy

Susitna Professional Pharmacy is a Pharmacy, Mail Order Pharmacy in Wasilla, . Susitna Professional Pharmacy practices all healthcare services and medical treatments related to Pharmacy, Mail Order Pharmacy. The NPI Number for Susitna Professional Pharmacy is 1467441808. The last update date is 2012-07-26.

Susitna Professional Pharmacy's current location address is 1751 E Gardner Way, Wasilla, . You can contact this provider via phone number (907) 373-7933 and fax number (907) 373-7939. The mailing address for Susitna Professional Pharmacy is 1751 E Gardner Way, Wasilla, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1467441808
Provider Legal Name
SUSITNA PROFESSIONAL PHARMACY
Other Organization Name
SUSITNA PROFESSIONAL PHARMACY
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1751 E Gardner Way, Wasilla,
Location Phone
(907) 373-7933
Location Fax
(907) 373-7939
Mailing Address
1751 E Gardner Way, Wasilla, Alaska(AK)
Mailing Phone
907-373-7933
Mailing Fax
907-373-7939
Enumeration Date
2005-10-18
Last Update Date
2012-07-26
Code Navigator

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, Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
-
License No.
408
License State
Alaska (AK)
Taxonomy Description
-

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 3336M0002X Mail Order Pharmacy

Pharmacy, Mail Order Pharmacy

()
2 3336S0011X Specialty Pharmacy

Pharmacy, Specialty Pharmacy

()
3 333600000X Pharmacy

Pharmacy

()

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
0202553 Other (non-Medicare) (01) () NCPDP Provider Identification Number
PH0266 MEDICAID (05) Alaska (AK)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467441808
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412784280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2412784280
2 + 4 + 1 + 2 + 7 + 8 + 4 + 2 + 8 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1467441808 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063415156 DANIEL G COSTELLO
Individual
Physician Assistant 1526 COLE BLVD STE 300
LAKEWOOD, Colorado (CO)
303-379-9371
1275536104 CYNTHIA AGUIAR
Individual
Pharmacist, Psychiatric 929 BENCH CT
ANCHORAGE, Alaska (AK)
907-729-2150
1043213507 JANICE L STABLES
Individual
Nurse Practitioner, Family 1867 AIRPORT WAY
FAIRBANKS, Alaska (AK)
907-452-6330
1013910611 DAVID A O'BRIEN
Individual
Pharmacist 516 FIRST ST.
CORDOVA, Alaska (AK)
907-424-3246
1396748844 SUSAN CANAFAX
Individual
Nurse Practitioner, Family 2841 DEBARR RD
ANCHORAGE, Alaska (AK)
907-264-2322