CREDENA HEALTH LLC


Address: 3300 Providence Dr, Ste 101, Anchorage, AK 99508-4671
Phone: 9072125090

CREDENA HEALTH LLC (NPI# 1760483556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760483556
Entity Type Organization
Organization Name CREDENA HEALTH LLC
Other Organization Name CREDENA HEALTH PHARMACY ANCHORAGE
Practice Address 3300 Providence Dr
Ste 101
Anchorage
AK 99508-4671
Mailing Address Po Box 5936b
Portland
OR 97228-5436
Practice Telephone 9072125090
Practice Fax Number 9072125091
Mailing Telephone 9072126868
Enumeration Date 2005-08-03
Last Update Date 2019-12-11
Authorized Official Name DONALD WAYNE ANDERSON JR. (DIRECTOR REIMBURSEMENT ADMIN)
Authorized Official Telephone 4255255392
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
AK NCPDP 0202072 01

Other Provider/Organization Names

Other Name Type Code
Credena Health Pharmacy Anchorage Doing Business As Name - Organization
Medical Arts Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346850641 Credena Health LLC Pharmacy 1510 Division St Ste 110, Oregon City, OR 97045-1572 2020-08-03
1629618186 Credena Health LLC Durable Medical Equipment & Medical Supplies 3300 Providence Dr Ste 101, Anchorage, AK 99508-4619 2020-01-13
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1396125399 Credena Health LLC Pharmacy 6348 Ne Halsey St, Suite A, Portland, OR 97213-4720 2015-06-04
1164809778 Credena Health LLC Pharmacy 50331a Us Highway 93, Polson, MT 59860-7046 2015-05-04
1124358239 Credena Health LLC Pharmacy 501 S Buena Vista St Fl 1, Burbank, CA 91505 2010-01-12
1225190408 Credena Health LLC Pharmacy 9155 Sw Barnes Rd Ste 102, Portland, OR 97225-6625 2006-12-14
1568551430 Credena Health LLC Pharmacy 101 W 8th Ave Ste 207653, Spokane, WA 99204 2006-10-11
1235243668 Credena Health LLC Pharmacy 5050 Ne Hoyt St Ste 142, Portland, OR 97213-2956 2006-08-19
1205811601 Credena Health LLC Pharmacy 1140 West La Veta, Orange, CA 92868-3849 2005-12-08

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations Credena Health LLC 6348 Ne Halsey St, Suite A, Portland, OR 97213
Iowa Business Entities CREDENA HEALTH LLC 6348 Ne Halsey St. Suite A, Portland, OR 97213
Oregon Corporations, Companies and Business Names CREDENA HEALTH LLC 6348 Ne Halsey Street, Suite A, Portland, OR 97213
Washington State Corporations CREDENA HEALTH LLC 6348 Ne Halsey St, Suite A, Portland, OR 97213-4720
Virginia Business Entities CREDENA HEALTH LLC 1801 Lind Ave Sw Ste 9016, Renton, Washington 98057

Office Location

Street Address 3300 PROVIDENCE DR
STE 101
City ANCHORAGE
State AK
Zip Code 99508-4671

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487192464 Becky Pletzer Social Worker 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 2017-02-09
1033564901 Megan Hultquist Social Worker 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 2016-04-28
1669842241 Amy Paul Pharmacist 3300 Providence Dr, Ste B314, Anchorage, AK 99508-4690 2015-09-25
1245608975 Wenceslous Fru Physician Assistant 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 2015-09-11
1306263504 Karen Marie Scholz Social Worker 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 2014-03-25
1033542899 Alaska Nephrologists LLC Internal Medicine 3300 Providence Dr, Suite 304, Anchorage, AK 99508-4690 2013-08-15
1639419161 Kelley Leanne Smart Social Worker 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 2013-02-20
1811278161 Kidney and Hypertension Clinic of Alaska LLC Internal Medicine 3300 Providence Dr, Building B, Suite 02, Anchorage, AK 99508-4671 2011-08-31
1174821383 Cynthia Mcginty Nurse Practitioner 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 2011-03-11
1659675965 Megan Engler Physician Assistant 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 2010-12-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447851951 Bernie's Pharmacy Inc Pharmacy 4100 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5230 2020-11-03
1659851038 Vonice LLC Pharmacy 4311 W Lake Cir, Anchorage, AK 99502 2018-08-15
1164977591 Pk Rx LLC Pharmacy 1035 W Fireweed Ln, Anchorage, AK 99503-1701 2016-08-15
1679931059 Alaska Native Tribal Health Consortium Pharmacy 3900 Ambassador Dr Ste 311, Anchorage, AK 99508-5922 2016-02-01
1992033575 Frontier Group Inc Pharmacy 2217 E Tudor Rd Ste 18, Anchorage, AK 99507-1068 2009-11-19
1841300548 Costco Wholesale Corporation Pharmacy 4125 Debarr Rd, Anchorage, AK 99508 2006-08-30
1932219631 Costco Wholesale Corporation Pharmacy 330 W Dimond Blvd, Anchorage, AK 99515 2006-08-30
1346261476 Anchorage Medset Pharmacy Inc Pharmacy 4101 Arctic Blvd, Ste B, Anchorage, AK 99503-5702 2006-07-22
1427079474 I Care Pharmacy Pharmacy 403 W Northern Lights Blvd Ste 4, Anchorage, AK 99503-2550 2006-07-22
1588695399 Carr-gottstein Foods Co Pharmacy 7731 E Northern Lights Blvd, Anchorage, AK 99504-3572 2006-07-06
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Competitor

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City ANCHORAGE
Zip Code 99508

Improve Information

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Dataset Information

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.

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