GIRDWOOD DRUG INC (NPI# 1710480009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710480009 |
| Entity Type | Organization |
| Organization Name | GIRDWOOD DRUG INC |
| Practice Address |
158 Holmgren Ste 103 Girdwood AK 99587 |
| Practice Telephone | 9072054270 |
| Practice Fax Number | 9072626429 |
| Mailing Telephone | 9072054270 |
| Mailing Fax Number | 9072626429 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-05-03 |
| Authorized Official Name | JUSTIN RUFFRIDGE (DIRECTOR) |
| Authorized Official Telephone | 9072623800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
131479 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2176430 | 01 |
| Street Address |
158 HOLMGREN STE 103 |
| City | GIRDWOOD |
| State | AK |
| Zip Code | 99587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851662233 | Girdwood Health Clinic, Inc. | Clinic/Center | 131 Lindblad Avenue, Girdwood, AK 99587 | 2012-01-18 |
| 1346496866 | Kenneth G Waugh | Physician Assistant | 131 Linblad Ave., Girdwood, AK 99587 | 2008-08-15 |
| 1376726984 | Leshine C. Herfindahl | Midwife, Lay | 160 Danish Circle, Girdwood, AK 99587 | 2007-12-06 |
| 1609973932 | Joseph Henry Harmon | Dentist | 398 Arlberg Ave, Girdwood, AK 99587 | 2006-09-20 |
| 1083657712 | Girdwood Clinic, Inc. | Nurse Practitioner | Lot 17 Block 1, New Girdwood Town Site, Girdwood, AK 99587 | 2006-06-13 |
| 1679710180 | Shirley Kay Durtschi | Counselor | 273 Crystal Mountain Rd., Girdwood, AK 99587-1189 | 2009-01-21 |
| 1891741526 | Kerry Dorius | Nurse Practitioner | 131 Lindblad Ave., Girdwood, AK 99587-5623 | 2006-05-25 |
| 1316572712 | Girdwood Fire and Rescue Inc. | Ambulance | 186 Egloff Dr, Girdwood, AK 99587-9958 | 2020-03-05 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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.