SUSITNA MEDISET SERVICES INC (NPI# 1548455967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548455967 |
| Entity Type | Organization |
| Organization Name | SUSITNA MEDISET SERVICES INC |
| Other Organization Name | SUSITNA MEDISET SERVICES |
| Practice Address |
1751 E Gardner Way Ste F Wasilla AK 99654-6564 |
| Practice Telephone | 9073524306 |
| Practice Fax Number | 9073577590 |
| Mailing Telephone | 9073524306 |
| Mailing Fax Number | 9073737939 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | MARY MUNDELL (EXECT VP) |
| Authorized Official Telephone | 9073737933 |
| 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 | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
438 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PH0267 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0227810 | 01 |
| Other Name | Type Code |
|---|---|
| SUSITNA MEDISET SERVICES | Doing Business As Name - Organization |
| Street Address |
1751 E GARDNER WAY STE F |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-6564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441808 | Susitna Professional Pharmacy | Pharmacy | 1751 E Gardner Way, Ste G, Wasilla, AK 99654-6564 | 2005-10-18 |
| 1710459862 | Rps Shergill Md Pllc | Internal Medicine | 1751 E Gardner Way, Wasilla, AK 99654-6564 | 2018-12-28 |
| 1316289176 | John D Hunter, Md Inc | Internal Medicine | 1751 E Gardner Way, Ste D, Wasilla, AK 99654-6564 | 2013-03-20 |
| 1578522694 | Lisa M Cooney | Internal Medicine | 1751 E Gardner Way, Suite E, Wasilla, AK 99654 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1578654034 | Geneva Woods Pharmacy, LLC | Pharmacy | 3674 E Country Field Cir, Ste A, Wasilla, AK 99654-5101 | 2006-09-27 |
| 1912416579 | Pharmacy Partners, LLC | Pharmacy | 3190 E Meridian Park Loop, Suite 110, Wasilla, AK 99654 | 2017-09-27 |
| 1194816405 | Geneva Woods Pharmacy, LLC | Pharmacy | 3674 E Country Field Cir, Ste B, Wasilla, AK 99654-5101 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154451714 | Providence Health System Washington | Pharmacy | 920 Compassion Cir, Anchorage, AK 99504-1645 | 2007-03-06 |
| 1578657854 | Geneva Woods Pharmacy, LLC | Pharmacy | 501 W International Airport Rd Ste 6, Anchorage, AK 99518-1106 | 2006-10-03 |
| 1053341966 | Professional Home Iv Inc | Pharmacy | 182 S Birch St, Soldotna, AK 99669-8020 | 2006-07-04 |
| 1285267989 | Prescription Center LLC | Pharmacy | 1919 Lathrop St Ste 109, Fairbanks, AK 99701-5937 | 2020-02-20 |
| 1043859374 | Inlet Pharmacy Group Inc. | Pharmacy | 299 N Binkley St, Soldotna, AK 99669-7523 | 2020-01-03 |
| 1619378270 | Medset Pharmacy, LLC | Pharmacy | 4101 Arctic Blvd, Suite #107, Anchorage, AK 99503-5702 | 2014-09-12 |
| 1205088747 | Northern Lights Pharmacy, Inc. | Pharmacy | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2008-10-15 |
| 1013077080 | Cordova Community Hospital | Pharmacy | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-12-11 |
| 1528126653 | Pioneer Homes Pharmacy | Pharmacy | 923 W 11th Ave, Anchorage, AK 99501-4306 | 2006-12-04 |
| 1184799777 | Juneau Pharmacy Inc | Pharmacy | 202 Front St, Juneau, AK 99801-1228 | 2006-11-21 |
| 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.