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Lake Otis Pharmacy Inc

Community/Retail Pharmacy in Anchorage, AK · enumerated 2006 · authorized official Wesley Sutterlin, President.

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

National Provider Identifier

1982625943

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Otis Pharmacy Inc
Other name <Unavail>
Practice address 4201 Lake Otis Pkwy, Anchorage, AK, 99508
Fax (907) 563-7879
Enumeration date Jul 22, 2006
Last updated in NPPES Mar 9, 2012

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 163 (AK) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Wesley Sutterlin
Title President

Other identifiers

Identifier Type State Issuer
PH0163 Medicaid AK -
0201525 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.

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Frequently asked questions

What type of organization is Lake Otis Pharmacy Inc?
Lake Otis Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
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.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-09.