GREATER FAIRBANKS COMM (NPI# 1578679411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578679411 |
| Entity Type | Organization |
| Organization Name | GREATER FAIRBANKS COMM |
| Other Organization Name | FAIRBANKS MEMORIAL HOSPITAL PHARMACY |
| Practice Address |
1650 Cowles St Dept 41 A Fairbanks AK 99701-5907 |
| Practice Telephone | 9074585610 |
| Practice Fax Number | 9074585622 |
| Mailing Telephone | 9074585610 |
| Mailing Fax Number | 9074585622 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | JOHN COTTER (DIR OF PHCY) |
| Authorized Official Telephone | 9074585621 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PHAR395 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PH7525 | 05 | |
| PK | 1997054 | 01 |
| Other Name | Type Code |
|---|---|
| FAIRBANKS MEMORIAL HOSPITAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
1650 COWLES ST DEPT 41 A |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077938 | Owen Quigley Hanley | Internal Medicine | 1650 Cowles St, Fairbanks, AK 99701-5998 | 2005-07-19 |
| 1083235212 | Heather Garman | Respiratory Therapist, Certified | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-04-28 |
| 1457982357 | Sarah Ollenburger | Dietitian, Registered | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-01-29 |
| 1972133619 | Amanda Ward | Registered Nurse | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2020-01-22 |
| 1568938975 | Jim Kirby Button | Pharmacist | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-10-23 |
| 1629559752 | Amber J Ross | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-08-27 |
| 1497255079 | Kimberly J Bilsky | Registered Nurse | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-02-20 |
| 1245730555 | Brittany Marie Hosler Belknap | Nurse Anesthetist, Certified Registered | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-02-14 |
| 1083128532 | Kaitlin M Roehl | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2017-11-20 |
| 1023548872 | Jeri A Reid | Physician Assistant | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1447701966 | Fairbanks Memorial Hospital, LLC | Pharmacy | 1650 Cowles St Dept 41a, Fairbanks, AK 99701-5907 | 2016-10-19 |
Please comment or provide details below to improve the information on GREATER FAIRBANKS COMM.
| 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.