MEDICARE: DR. KRISTEN ANN GERDESMEIER 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	124466	MN
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	182936	AK

General Provider Information

NPI Number	:	1518579200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN ANN GERDESMEIER PHARMD

Provider Business Mailing Address
First Line	:	2000 W DIMOND BLVD STE C
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99515-1400
Country	:	US
Telephone Number	:	907-267-6733
Fax Number	:	907-600-2754

Provider Business Practice Location Address
First Line	:	2000 W DIMOND BLVD STE C
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99515-1400
Country	:	US
Telephone Number	:	907-267-6733
Fax Number	:	907-600-2754

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

Provider Enumeration Date	:	08/23/2020
Last Update Date	:	05/07/2026

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