Provider Type Icon

FOUNDATION HEALTH LLC NPI 1306952247


NPI Information

NPI: 1306952247
Provider Name: FOUNDATION HEALTH LLC

Doing Business As: DENALI PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 02D0641210

Address:
1650 COWLES ST
DEPT 41 C
FAIRBANKS, AK
ZIP 99701
Phone: (907) 458-5615
Get Directions

FOUNDATION HEALTH LLC is a community/retail pharmacy pharmacy in Fairbanks, AK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FOUNDATION HEALTH LLC NPI is 1306952247. The provider is registered as an organization entity type.
The provider Is Doing Business As Denali Pharmacy.

The provider's business location address is:

1650 COWLES ST
DEPT 41 C
FAIRBANKS, AK
ZIP 99701-907
Phone: (907) 458-5615
Fax: (907) 458-5060

The provider's authorized official is Shelley D Ebenal .
The authorized official title is Chief Executive Officer and has the following contact phone number (907) 458-5550.

The CLIA number assigned to this NPI record is 02D0641210 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 12/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyYes
23336L0003XPharmacyLong Term Care PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11656561MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.