MR. JOHN ARTHUR MCENTEE (NPI# 1144666918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144666918 |
| Entity Type | Individual |
| Full Name | MR. JOHN ARTHUR MCENTEE |
| Credential | RPH |
| Practice Address |
1915 E Rezanof Dr Kodiak AK 99615-6602 |
| Practice Telephone | 9074869549 |
| Practice Fax Number | 9074869553 |
| Mailing Telephone | 9074869549 |
| Mailing Fax Number | 9074869553 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 920 | AK | Pharmacy Service Providers |
| Street Address |
1915 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905660 | Providence Health & Services Washington | General Acute Care Hospital | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2005-10-07 |
| 1093228348 | Stephanie Louise Hurley | Pharmacist | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2017-11-08 |
| 1083125355 | Kodiak Life Diagnostic Imaging, Inc | Clinic/Center | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2017-10-13 |
| 1639555840 | Aurora Crye | Pharmacist | 1915 E Rezanof Dr, Kodiak, AK 99615 | 2015-08-11 |
| 1508150384 | Diana Bash | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2011-06-08 |
| 1235421132 | Monique Patricia Reckner | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2011-05-10 |
| 1295032910 | Kodiak Board Certified Radiology, LLC | Radiology | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2011-02-15 |
| 1306147434 | Providence Kodiak Medical Center | Custodial Care Facility | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2010-11-05 |
| 1194032631 | Amy Jean Deer | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2010-09-03 |
| 1437463601 | Louisa Gayle Solesbee | Registered Nurse | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2010-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| 1265757595 | David J Schatz | Pharmacist | Us Coast Guard Rockmore-king Clinic, Bldg. N46, Kodiak, AK 99615 | 2010-03-30 |
| 1699751826 | Shelley Ford Paulson | Pharmacist | Bldg N46 Cape Sarichef, Kodiak, AK 99619 | 2005-12-20 |
| 1043843071 | Amanda N Flynt | Pharmacist | 1911 E Rezanof Dr, Kodiak, AK 99615-6602 | 2020-02-18 |
| 1093228348 | Stephanie Louise Hurley | Pharmacist | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2017-11-08 |
| 1639555840 | Aurora Crye | Pharmacist | 1915 E Rezanof Dr, Kodiak, AK 99615 | 2015-08-11 |
| 1528451242 | Bryce Farrar | Pharmacist | 2911 Mill Bay Rd, Attn: Pharmacy, Kodiak, AK 99615-7809 | 2015-03-05 |
| 1699028464 | Erik Abraham Riutta | Pharmacist | 2911 Mill Bay Rd, Kodiak, AK 99615-7809 | 2012-10-18 |
| 1982956603 | Terry Wayne Pollard | Pharmacist | 2911 Mill Bay Rd, Kodiak, AK 99615-7809 | 2012-10-04 |
| 1447551791 | Doug Arnold Frick | Pharmacist | 2685 Mill Bay Rd, Kodiak, AK 99615-6638 | 2010-11-03 |
| Find all providers in KODIAK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.