IndividualActive
Nicholas Ndetti, PHARM D.
NPI 1396298626 · Pharmacist · Fairbanks, AK
Provider details
- NPI number
- 1396298626
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM D.
- Sex
- Male
- Sole proprietor
- No
- License
- 102370 (AK)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1919 Lathrop St
Suite 109
Fairbanks, AK 99701-5937
Phone: (907) 452-1514
Fax: (907) 452-1917
Street-level locationGet directions
Mailing address
1919 Lathrop St
Fairbanks, AK 99701-5937
Registry dates
- Enumerated
- 2016-08-03
- Last updated
- 2016-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.