STEPHANIE LYNN HACKETT (NPI# 1942816095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942816095 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN HACKETT |
| Credential | PHARMD |
| Practice Address |
2417 Tongass Ave Ketchikan AK 99901-5900 |
| Practice Telephone | 9072281960 |
| Mailing Telephone | 9072281960 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 163154 | AK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588000111 | Stephanie Hackett | Physician Assistant | 524 Seminole Ave Ne, Atlanta, GA 30307-1418 | 2013-05-22 |
| 1427210145 | Stephanie Hackett | Case Manager/Care Coordinator | 40 Pleasant St, Concord, NH 03301 | 2008-06-25 |
| Street Address |
2417 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477582419 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2006-07-02 |
| 1336759182 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2020-08-06 |
| 1629550629 | Kevin Peter Hornbarger | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2018-09-05 |
| 1457830846 | Robert Henry Hopkins | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2018-08-07 |
| 1083067276 | Jacob Pignone | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2016-07-22 |
| 1336500768 | Kimberly Fraze | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2016-03-12 |
| 1710289681 | Margaret Ann Davis | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2010-11-29 |
| 1962703280 | Anita Michele Treas | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110235 | Kalli Kline | Pharmacist | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2020-10-01 |
| 1396393567 | Nancy Bright | Pharmacist | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2019-08-29 |
| 1790337103 | Barry Delano Christensen | Pharmacist | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2019-07-15 |
| 1073177424 | Maxx Ritchie Keizer | Pharmacist | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2019-04-30 |
| 1235693722 | Danielle Steepe | Pharmacist | 4230 Don King Rd, Ketchikan, AK 99901-9047 | 2019-01-29 |
| 1629550629 | Kevin Peter Hornbarger | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2018-09-05 |
| 1457830846 | Robert Henry Hopkins | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2018-08-07 |
| 1255857702 | Torrie Jayne Wolery | Pharmacist | 3526 Tongass Ave, Ketchikan, AK 99901-5635 | 2017-08-16 |
| 1255888665 | Ken Schramm | Pharmacist | 4230 Don King Rd, Ketchikan, AK 99901-9047 | 2016-09-01 |
| 1083067276 | Jacob Pignone | Pharmacist | 2417 Tongass Ave, Ketchikan, AK 99901-5900 | 2016-07-22 |
| Find all providers in KETCHIKAN | ||||
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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.