Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Susitna Professional Pharmacy

Q: What type of organization is Susitna Professional Pharmacy?

Susitna Professional Pharmacy is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Community/Retail Pharmacy in Wasilla, AK · enumerated 2005 · authorized official Mary Mundell, Executive Vp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467441808

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Registry record

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 (907) 373-7933

Fax (907) 373-7939

Enumeration date Oct 18, 2005

Last updated in NPPES Jul 26, 2012

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 408 (AK) Primary

3336M0002X Mail Order Pharmacy Suppliers Secondary

3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Mary Mundell

Title Executive Vp

Phone (907) 373-7933

Other identifiers

Identifier	Type	State	Issuer
PH0266	Medicaid	AK	-
0202553	Other	-	NCPDP PROVIDER IDENTIFICATION NUMBER

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Susitna Professional Pharmacy?

Susitna Professional Pharmacy is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

Browse all →

Lisa Cooney Internal Medicine Physician · Wasilla, AK NPI 1578522694 Robert Bridges Diagnostic Radiology Physician · Wasilla, AK NPI 1366501876 Susitna Mediset Services Inc Long Term Care Pharmacy · Wasilla, AK NPI 1548455967 John D Hunter, MD Inc Internal Medicine Physician · Wasilla, AK NPI 1316289176 Rps Shergill MD Pllc Pulmonary Disease Physician · Wasilla, AK NPI 1710459862

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-26.