Kodiak Area Native Association Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Kodiak, AK. Organization (NPI-2).
NPI number1003973041
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1003973041
- Entity type
- Organization (NPI-2)
- Legal business name
- Kodiak Area Native Association Pharmacy
- Organization subpart
- No
- Enumeration date
- Jan 2, 2007
- Certification date
- Jun 5, 2023
- Last updated
- Jul 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 107 | AK | Yes |
Practice location
3449 E Rezanof DrKodiak, AK 99615-6952
Phone 907-486-9860 · Fax 907-486-9895
Mailing address
3449 E Rezanof DrKodiak, AK 99615-6952
Phone 907-486-9860 · Fax 907-486-9895
Authorized official
Michael Pfeffer
Ceo
9074869801
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