NPI 1174995187 · live from the CMS NPI Registry
Kezia Bechtoldt
Pharmacist in Elmendorf Afb, AK. National Provider Identifier 1174995187, active.
NPI record
| NPI | 1174995187 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 5955 Zeamer Ave, Elmendorf Afb, AK 99506 |
| Practice phone | 907-580-2778 |
| Enumerated | October 29, 2015 |
| Last updated | April 9, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 199986 (AK) |
| Pharmacist | 183500000X | 69771 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.