CARR-GOTTSTEIN FOODS CO (NPI# 1477582419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477582419 |
| Entity Type | Organization |
| Organization Name | CARR-GOTTSTEIN FOODS CO |
| Other Organization Name | SAFEWAY PHARMACY #1818 |
| Practice Address |
2417 Tongass Ave Ketchikan AK 99901-5900 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 9072281960 |
| Practice Fax Number | 9072281919 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER) |
| Authorized Official Telephone | 2083953954 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAFEWAY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 328 | AK | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0202060 | 01 | |
| AK | PH0262 | 05 |
| Other Name | Type Code |
|---|---|
| CARRS PHARMACY #1818 | Doing Business As Name - Organization |
| SAFEWAY PHARMACY #1818 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1891170239 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 109 E Pioneer Dr, Valdez, AK 99686 | 2015-07-28 |
| 1740493451 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 5600 Debarr Rd Ste 100, Anchorage, AK 99504-2300 | 2007-05-08 |
| 1942229976 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | Mile 1907 Seward Hwy, Seward, AK 99664-9800 | 2006-07-19 |
| 1588695399 | Carr-gottstein Foods Co | Pharmacy | 7731 E Northern Lights Blvd, Anchorage, AK 99504-3572 | 2006-07-06 |
| 1104855147 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 5600 Debarr Rd, Anchorage, AK 99504-2304 | 2006-07-02 |
| 1669401600 | Carr-gottstein Foods Co | Pharmacy | 1340 Gambell St, Anchorage, AK 99501-4630 | 2006-07-02 |
| 1659300697 | Carr-gottstein Foods Co | Pharmacy | 1501 Huffman Rd, Anchorage, AK 99515-3596 | 2006-07-02 |
| 1912936956 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 90 Sterling Hwy, Homer, AK 99603-7439 | 2006-07-02 |
| 1386673325 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 3033 Vintage Blvd, Juneau, AK 99801-7109 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CARR-GOTTSTEIN FOODS CO. | 11555 Dublin Canyon Rd, Pleasanton, CA 94588-2815 |
| Street Address |
2417 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816095 | Stephanie Lynn Hackett | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2020-09-23 |
| 1336759182 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2020-08-06 |
| 1629550629 | Kevin Peter Hornbarger | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2018-09-05 |
| 1457830846 | Robert Henry Hopkins | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2018-08-07 |
| 1083067276 | Jacob Pignone | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2016-07-22 |
| 1336500768 | Kimberly Fraze | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2016-03-12 |
| 1710289681 | Margaret Ann Davis | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2010-11-29 |
| 1962703280 | Anita Michele Treas | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215080502 | Downtown Drugstore | Pharmacy | 300 Front St, Ketchikan, AK 99901-6418 | 2007-01-19 |
| 1881776664 | Island Pharmacy Inc | Pharmacy | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487118402 | Ledjha Ekstedt | Pharmacy | 4101 Arctic Blvd Ste B, Anchorage, AK 99503-5702 | 2019-01-23 |
| 1295145233 | Ak Pharmacy Management LLC | Pharmacy | 1867 Airport Way Ste 105, Fairbanks, AK 99701-4054 | 2014-04-29 |
| 1750708657 | Genoa Healthcare, LLC | Pharmacy | 4020 Folker St Ste 5, Anchorage, AK 99508-5321 | 2014-03-28 |
| 1346679875 | Three Bears Alaska, Inc | Pharmacy | 3950 S Knik Goose Bay Rd, Wasilla, AK 99623-5008 | 2013-11-05 |
| 1285965772 | Walmart Inc. | Pharmacy | 10096 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2010-01-22 |
| 1447408893 | Target Corporation and Subsidiaries | Pharmacy | 1801 E Parks Hwy, Wasilla, AK 99654-7350 | 2008-08-28 |
| 1356599708 | Target Corporation and Subsidiaries | Pharmacy | 1200 N Muldoon Rd Ste F, Anchorage, AK 99504-6103 | 2008-08-28 |
| 1053522482 | Juneau Drug At Miners Cove | Pharmacy | 700 S. Franklin St., Juneau, AK 99801 | 2007-05-25 |
| 1679655096 | Village Pharmacy of Valdez | Pharmacy | Pioneer and Meals Sts., Valdez, AK 99686 | 2006-10-19 |
| 1871694000 | Foodland Super Drug | Pharmacy | 631 W Willoughby Ave, Juneau, AK 99801-1731 | 2006-09-26 |
| Find all providers with the same taxonomy | ||||
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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.