Unknown Individual – Pharmacist, NPI 1144302100

Unknown Individual is a healthcare provider. based in Fairbanks, Alaska. specializing in Pharmacist. They hold a License No. AA788 (AK). The NPI Number for Unknown Individual is 1144302100

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1144302100
Phone
(907) 459-3807
Address
1408 19TH AVE
Deactivation Date
20 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1408, 19th Avenue, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    FAIRBANKS, AK 997015903

    Phone: (907) 459-3807

    Type: Location

  • 1361, Opportunity Way, Fairbanks North Star Borough, Alaska, 99709, United States

    FAIRBANKS, AK 997096034

    Phone: (907) 455-6355

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99701)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1144302100.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Pharmacist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Fairbanks?
Public fields place Unknown Individual around Fairbanks, Alaska. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.