MEDICARE: JOHN DAVID STOKES PHARMD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PHA-PHA-LIC-63148	MT
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	225980	AK

General Provider Information

NPI Number	:	1407407786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN DAVID STOKES PHARMD.

Provider Business Mailing Address
First Line	:	5245 SMOKEY MOUNTAIN RD
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99709-5820
Country	:	US
Telephone Number	:	907-474-1433
Fax Number	:

Provider Business Practice Location Address
First Line	:	3755 AIRPORT WAY
Second Line	:
City	:	FAIRBANKS
State	:	AK
Zip	:	99709-4610
Country	:	US
Telephone Number	:	907-474-1433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	06/05/2026

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