MEDICARE: ALASKA INFUSION THERAPY, INC.

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	333600000X	Pharmacy	PH407	AK
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	PH407	AK
3	261QI0500X	Infusion Therapy Clinic/Center	PH407	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0202236	OTHER	AK	NABP NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548263387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALASKA INFUSION THERAPY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 32960
Second Line	:
City	:	JUNEAU
State	:	AK
Zip	:	99803-2960
Country	:	US
Telephone Number	:	907-789-7570
Fax Number	:	907-789-7573

Provider Business Practice Location Address
First Line	:	9109 MENDENHALL MALL RD
Second Line	:	STE 7A
City	:	JUNEAU
State	:	AK
Zip	:	99801-7142
Country	:	US
Telephone Number	:	907-789-7570
Fax Number	:	907-789-7573

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MS. KATY FISHEL
Credential	:	RPH
Telephone Number	:	907-789-7570

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	09/11/2025

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Directions to “ALASKA INFUSION THERAPY, INC. ” Practice Location

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