SCF RASU PHARMACY (NPI# 1366587743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366587743 |
| Entity Type | Organization |
| Organization Name | SCF RASU PHARMACY |
| Practice Address |
4160 Tudor Centre Dr Anchorage AK 99508-5901 |
| Practice Telephone | 9077294160 |
| Practice Fax Number | 9077296590 |
| Mailing Telephone | 9077294160 |
| Mailing Fax Number | 9077296590 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | JUDY ROSE (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9077294160 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NABP NUMBER | 0227808 | 01 |
| AK | DEA NUMBER | FS0137453 | 01 |
| Street Address |
4160 TUDOR CENTRE DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698044 | Kristen Maves | Pharmacist | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2020-10-27 |
| 1295382745 | Tesslyn Roe | Case Manager/Care Coordinator | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2019-08-20 |
| 1073075230 | Jeanne Holifield | Case Manager/Care Coordinator | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2019-04-04 |
| 1245703883 | Lynette R Young | Case Manager/Care Coordinator | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2019-01-07 |
| 1134633506 | Stephanie Griffin | Case Manager/Care Coordinator | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2017-11-21 |
| 1679092530 | Hazel Isabelle Lovitt | Case Manager/Care Coordinator | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2017-09-12 |
| 1659805273 | Marlene Andre | Physical Therapy Assistant | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2017-04-20 |
| 1790226553 | Amelia Victoria Mainord | Case Manager/Care Coordinator | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2017-03-13 |
| 1861932394 | Allison Huntington | Case Manager/Care Coordinator | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2017-03-02 |
| 1740530708 | Mary Jane Jones-lewis | Case Manager/Care Coordinator | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2012-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720460652 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3801 University Lake Dr Ste 100, Anchorage, AK 99508-4658 | 2015-06-27 |
| 1972869071 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1w326, 4315 Diplomacy Drive, Anchorage, AK 99508 | 2012-04-03 |
| 1811106271 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-05-22 |
| 1073658431 | Anchorage Native Primary Care Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2007-02-21 |
| 1891830451 | Alaska Native Medical Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194848242 | Searhc Haines Medical Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 131 First Ave South, Haines, AK 99827-1549 | 2007-04-06 |
| 1154493666 | Maniilaq Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 5th St and Grizzley, Kotzebue, AK 99752 | 2006-11-14 |
| 1881780880 | Searhc - Mte Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 222 Tongass Drive, Sitka, AK 99835 | 2006-10-05 |
| 1851486153 | Searhc - Juneau Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1200 Salmon Creek Road, Juneau, AK 99801 | 2006-10-03 |
| 1245605179 | Norton Sound Health Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 189 Airport Road, Unalakleet, AK 99684-0189 | 2015-12-03 |
| 1760739601 | Southcentral Foundation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2012-08-09 |
| 1699983361 | Ketchikan Indian Community Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2007-05-18 |
| 1306069570 | Norton Sound Health Corp | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 306 W 5th, Nome, AK 99762 | 2007-04-10 |
| 1427187046 | Norton Sound Health Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 306 West 5th Ave, Nome, AK 99762-0966 | 2007-03-02 |
| 1770671661 | Searhc - Haines Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 131 1st Street South, Haines, AK 99827 | 2006-10-10 |
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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.