Credena Health Pharmacy Anchorage – Pharmacy, NPI 1760483556
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Credena Health Pharmacy Anchorage
PO BOX 5936B
PORTLAND, OR 972285436
Phone: (907) 212-6868
Type: Mailing
Providence Medical Arts Pharmacy, 3300, Providence Drive, Anchorage, Alaska, 99508, United States
STE 101
ANCHORAGE, AK 995084671
Phone: (907) 212-5090
Fax: (907) 212-5091
Type: Location
PO BOX 2704
PORTLAND, OR 972082704
Phone:
Type: Mailing
2001 LIND AVE SW
ATTN: REIMBURSEMENT DEPARTMENT
RENTON, WA 980573303
Phone: (907) 212-6868
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-08-31 (79 days away).
Enrollment records
2
Earliest due date
2026-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200130000775 | O | Mass Immunization (Roster Biller Only) | AK | 2026-08-31 |
| O20200131001703 | O | Pharmacy | AK | 2026-09-30 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 97228)
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