PROVIDENCE KODIAK ISLAND MEDICAL CENTER RETAIL
NPI 1629054374
Pharmacy, Long Term Care Pharmacy in Kodiak,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 15, 2005

Contact Information

1915 E Rezanof Dr
Kodiak,
Post Code: 99615
Phone: (907) 486-9550
Fax: -

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Providence Kodiak Island Medical Center Retail in Kodiak - Pharmacy, Long Term Care Pharmacy

Providence Kodiak Island Medical Center Retail is a Pharmacy, Long Term Care Pharmacy in Kodiak, . Providence Kodiak Island Medical Center Retail practices all healthcare services and medical treatments related to Pharmacy, Long Term Care Pharmacy. The NPI Number for Providence Kodiak Island Medical Center Retail is 1629054374. The last update date is 2019-12-10.

Providence Kodiak Island Medical Center Retail's current location address is 1915 E Rezanof Dr, Kodiak, . You can contact this provider via phone number (907) 486-9550 and fax number -. The mailing address for Providence Kodiak Island Medical Center Retail is 1915 E Rezanof Dr, Kodiak, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1629054374
Provider Legal Name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Other Organization Name
PROVIDENCE KODIAK ISLAND MEDICAL CENTER RETAIL
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1915 E Rezanof Dr, Kodiak,
Location Phone
(907) 486-9550
Location Fax
-
Mailing Address
Po Box 3706, Portland, Oregon(OR)
Mailing Phone
907-486-9550
Mailing Fax
907-486-9553
Enumeration Date
2005-12-15
Last Update Date
2019-12-10
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

General Acute Care Hospital, Critical Access

Taxonomy Code
282NC0060X
Type
-
License No.
285
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 3336L0003X Long Term Care Pharmacy

Pharmacy, Long Term Care 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

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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.
1629054374
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649058314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2649058314
2 + 6 + 4 + 9 + 0 + 5 + 8 + 3 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1629054374 is valid because the calculated check digit 4 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
1477556488 ANNELLE GLEE MAYGREN
Individual
Optometrist 3100 CHANNEL DR STE 300
JUNEAU, Alaska (AK)
907-463-4074
1063415156 DANIEL G COSTELLO
Individual
Physician Assistant 1526 COLE BLVD STE 300
LAKEWOOD, Colorado (CO)
303-379-9371
1548263387 ALASKA INFUSION THERAPY, INC.
Organization
Pharmacy PO BOX 32960
JUNEAU, Alaska (AK)
907-789-7570
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