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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | NCPDP | 0202072 | 01 |
Other Name | Type Code |
---|---|
Credena Health Pharmacy Anchorage | Doing Business As Name - Organization |
Medical Arts Pharmacy | Doing Business As Name - Organization |
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 |
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 |
Street Address |
3300 PROVIDENCE DR STE 101 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-4671 |
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 |
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 |
Find all providers in zip 99508 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
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] |
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 |
Find all providers in ANCHORAGE |
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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.