GLACIER VIEW TLC PHARMACY (NPI# 1316082167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316082167 |
| Entity Type | Organization |
| Organization Name | GLACIER VIEW TLC PHARMACY |
| Other Organization Name | GLACIER VIEW TLC PHARMACY |
| Practice Address |
9109 Mendenhall Mall Rd Suite 7-a Juneau AK 99801-7113 |
| Mailing Address |
Po Box 32960 Juneau AK 99803-2960 |
| Practice Telephone | 9077897570 |
| Practice Fax Number | 8664311898 |
| Mailing Telephone | 9077897570 |
| Mailing Fax Number | 8664311898 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | MARSHA POOLE (OWNER/PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 9077897570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
455 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0227935 | 01 |
| Other Name | Type Code |
|---|---|
| Glacier View TLC Pharmacy | Doing Business As Name - Organization |
| Street Address |
9109 MENDENHALL MALL RD SUITE 7-A |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263387 | Alaska Infusion Therapy, Inc. | Pharmacy | 9109 Mendenhall Mall Rd, Ste 7a, Juneau, AK 99801-7142 | 2005-05-24 |
| 1790234912 | Marisha Bourgeois | Speech-Language Pathologist | 9109 Mendenhall Mall Rd, Suite 5k, Juneau, AK 99801-7136 | 2016-09-28 |
| 1043456411 | Linda L. Newman | Occupational Therapist | 9109 Mendenhall Mall Rd, Suite 5k, Juneau, AK 99801-7113 | 2009-01-06 |
| 1720255946 | Denali Mesa Corporation | Physical Therapist | 9109 Mendenhall Mall Rd, Ste 5k, Juneau, AK 99801-7113 | 2008-05-15 |
| 1245455625 | Hope Community Resources Inc | Case Management | 9109 Mendenhall Mall Rd, Ste 5d, Juneau, AK 99801-7113 | 2007-04-13 |
| 1518083849 | Monica Monty | Physical Therapist | 9109 Mendenhall Mall Rd, Suite 5k, Juneau, AK 99801-7113 | 2007-03-21 |
| 1932233970 | Alaska Solutions Inc | Respite Care | 9109 Mendenhall Mall Rd, Suite 4a, Juneau, AK 99801-7113 | 2007-03-14 |
| 1912037185 | Hope Community Resources Inc | Case Management | 9109 Mendenhall Mall Rd, Ste 5d, Juneau, AK 99801-7113 | 2007-03-06 |
| 1851448153 | Heidi S. Johnson | Speech-Language Pathologist | 9109 Mendenhall Mall Rd, Suite 2, Juneau, AK 99801-7113 | 2007-01-05 |
| 1215049010 | Dialysis Services of Southeast Alaska, LLC | Clinic/Center | 9109 Mendenhall Mall Rd, Suite 6, Juneau, AK 99801 | 2006-08-31 |
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|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763158 | Infuse Alaska LLC | Pharmacy | 6250 Tuttle Pl Ste 7, Anchorage, AK 99507-2094 | 2020-09-01 |
| 1942242722 | Coram Alternate Site Services, Inc. | Pharmacy | 501 W International Airport Rd Ste 4, Anchorage, AK 99518-1106 | 2006-06-13 |
| 1003008277 | Banner Health | Pharmacy | 1650 Cowles St, Dept 41b, Fairbanks, AK 99701-5925 | 2007-08-13 |
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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.