GREAT LAND INFUSION PHARMACY INC (NPI# 1437194206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437194206 |
| Entity Type | Organization |
| Organization Name | GREAT LAND INFUSION PHARMACY INC |
| Other Organization Name | GREAT LAND INFUSION PHARMACY INC |
| Practice Address |
2421 E Tudor Rd Ste 107 Anchorage AK 99507-1128 |
| Practice Telephone | 9075612421 |
| Practice Fax Number | 9078685154 |
| Mailing Telephone | 9075612421 |
| Mailing Fax Number | 9078685154 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | DOUGLAS NOAEILL (PRESIDENT) |
| Authorized Official Telephone | 9073010061 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
429 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MS0429 | 05 | |
| AK | PH0429 | 05 | |
| PK | 1997065 | 01 |
| Other Name | Type Code |
|---|---|
| GREAT LAND INFUSION PHARMACY INC | Doing Business As Name - Organization |
| Street Address |
2421 E TUDOR RD STE 107 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013257690 | Bty Dental Group | Dentist | 2421 E Tudor Rd, Suite 101, Anchorage, AK 99507-1128 | 2013-02-19 |
| 1487994075 | Hanbit Chi | Dentist | 2421 E Tudor Rd, Suite 101, Anchorage, AK 99507-1128 | 2013-02-19 |
| 1043520588 | Karrie Lynn Young | Nurse Practitioner | 2421 E Tudor Rd, Ste 102, Anchorage, AK 99507-1128 | 2010-10-18 |
| 1093042194 | Glacier Dental, LLC | Dentist | 2421 E Tudor Rd, Suite 101, Anchorage, AK 99507-1128 | 2009-11-10 |
| 1780851998 | Denali Mesa Corporation | Physical Therapist | 2421 E Tudor Rd, Ste 103, Anchorage, AK 99507-1128 | 2008-05-15 |
| 1659595387 | Rodney Sloop Gordon | Pharmacist | 2421 E Tudor Rd, Suite #107, Anchorage, AK 99507-1166 | 2007-04-12 |
| 1912030438 | Jeffrey C Trotter | Physical Therapist | 2421 E Tudor Rd, Ste 103, Anchorage, AK 99507-1128 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003008277 | Banner Health | Pharmacy | 1650 Cowles St, Dept 41b, Fairbanks, AK 99701-5925 | 2007-08-13 |
Please comment or provide details below to improve the information on GREAT LAND INFUSION PHARMACY INC.
| 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.