Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952188310 Individual Practitioner Male Practitioner

Dr. Maxwell Ilnickis , PharmD

Pharmacist • Bethel, AK

Professional Overview & Biography Verified Profile Summary

Dr. Maxwell Ilnickis, PharmD is a registered healthcare professional specializing in Pharmacist in Bethel, AK. Practice services are available at 829 CHIEF EDDIE HOFFMAN HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

829 Chief Eddie Hoffman Hwy

Bethel, AK 995593362

Telephone 9075436000
Associated Practice Facility / Clinic
🏢 Yukon Kuskokwim Health Corp Facility NPI 1720202187

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bethel, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Bethel, AK (752 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AK 249619

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License NJ 28RI04319800

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License NY 070688

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Wyndi Adams , RT(R)

Radiologic Technologist - Radiography

NPI 1003032319
Louis Mallette

Counselor - Addiction (Substance Use Disorder)

NPI 1003055187
NPI 1003162181

Certified Nurse Midwife, Doctor of Nursing Practice, Advanced Practice Registered Nurse

James Munn

Radiologic Technologist - Radiography

NPI 1023215241
Dr. Kena Troupe , DNP, ARNP

Nurse Practitioner - Family

NPI 1043740574

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner

Ashley Glasheen , APRN

Nurse Practitioner - Family

NPI 1053806414

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location May 14, 2026

Registered at 829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 995593362 (Tel: 9075436000)

📍
Updated Business Mailing Address May 14, 2026

Registered at PO BOX 3362, BETHEL, AK 995593362

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2026

Pharmacist (License #249619 in AK)

📍
Updated Practice Location December 08, 2024

Registered at 1717 SHERIDAN DR, BUFFALO, NY 142231209 (Tel: 3474812242)

📍
Updated Business Mailing Address December 08, 2024

Registered at 231 AFFINITY LN APT E, BUFFALO, NY 142152534 (Tel: 3474812242)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2024

Pharmacist (License #28RI04319800 in NJ)

📍
Updated Practice Location November 02, 2023

Registered at 1133 INMAN AVE, EDISON, NJ 088201282 (Tel: 9087530624)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2023

Pharmacist (License #070688 in NY)

NPI Profile Active September 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2023

Registered at 1296 2ND AVE, NEW YORK, NY 100655707 (Tel: 2127948700)

📍
Updated Business Mailing Address September 11, 2023

Registered at 339 PARKINSON AVE, STATEN ISLAND, NY 103053537 (Tel: 3474812242)

👤
Provider Name / Credentials Updated September 11, 2023

Recorded as MAXWELL ILNICKIS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2023

Pharmacist (License #28RI04319800 in NJ)

🟢
Initial NPI Registration & Enumeration September 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952188310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2023
Last Update: May 14, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 3362

Bethel, AK 995593362

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.