Susitna Professional Pharmacy
Susitna Professional Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Wasilla, AK, holding Type 2 (organization) NPI 1467441808 since 2005. The authorized official on file is Mary Mundell, Executive Vp.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1467441808 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Susitna Professional Pharmacy |
| Other name | <Unavail> |
| Practice address | 1751 E GARDNER WAY, STE G, Wasilla, AK, 99654 |
| Phone | 9073737933 |
| Fax | 9073737939 |
| Enumeration date | 2005-10-18 |
| Last updated in NPPES | 2012-07-26 |
Authorized official
| Name | Mary Mundell |
|---|---|
| Title | Executive Vp |
| Phone | 9073737933 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336M0002X | Mail Order Pharmacy | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 408 | AK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH0266 | Medicaid | AK | — |
| 0202553 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Susitna Professional Pharmacy NPI: 1467441808 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1751 E GARDNER WAY, STE G, Wasilla, AK, 99654
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578522694 | Lisa Cooney | Individual | Internal Medicine Physician | Wasilla, AK |
| 1366501876 | Robert Bridges | Individual | Diagnostic Radiology Physician | Wasilla, AK |
| 1548455967 | Susitna Mediset Services Inc | Organization | Long Term Care Pharmacy | Wasilla, AK |
| 1316289176 | John D Hunter, MD Inc | Organization | Internal Medicine Physician | Wasilla, AK |
| 1710459862 | Rps Shergill MD Pllc | Organization | Pulmonary Disease Physician | Wasilla, AK |
Verify this record
Cross-check NPI 1467441808 against the authoritative CMS record: view Susitna Professional Pharmacy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Susitna Professional Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-07-26.