Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013603117 Individual Practitioner Male Practitioner

Dr. Ian Cirasunda Dettman , PharmD

Pharmacist • Jber, AK

Professional Overview & Biography Verified Profile Summary

Dr. Ian Dettman, PharmD is a registered healthcare professional specializing in Pharmacist in Jber, AK. Practice services are available at 5955 ZEAMER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5955 Zeamer Ave

Jber, AK 995063702

Telephone 9075806800
Associated Practice Facility / Clinic
🏢 Anchorage Vamc Facility NPI 1386405454

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jber, AK

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

Practicing in Jber, 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: 2024-10-25
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CO PHA.0024591

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

2 Associated Practitioners
NPI 1548730724

Doctor of Pharmacy (Pharm.D.)

NPI 1891071437

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 25, 2024

Registered at 5955 ZEAMER AVE, JBER, AK 995063702 (Tel: 9075806800)

📍
Updated Business Mailing Address October 25, 2024

Registered at 5955 ZEAMER AVE, JBER, AK 995063702 (Tel: 9075806800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2024

Pharmacist (License #PHA.0024591 in CO)

📍
Updated Practice Location July 24, 2023

Registered at 301 N 1ST ST BLDG 46, ALTUS, OK 735235004 (Tel: 5804815224)

📍
Updated Business Mailing Address July 24, 2023

Registered at 2000 E TAMARACK RD # 5-502, ALTUS, OK 735219766 (Tel: 9515206761)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2023

Pharmacist (License #IN.0002008403 in CO)

NPI Profile Active April 12, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2023

Registered at 12850 E MONTVIEW BLVD, AURORA, CO 800452605 (Tel: 3037242882)

📍
Updated Business Mailing Address April 12, 2023

Registered at 1859 28TH ST APT 602, DENVER, CO 802165279 (Tel: 9515206761)

👤
Provider Name / Credentials Updated April 12, 2023

Recorded as IAN DETTMAN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 12, 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: 1013603117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2023
Last Update: October 25, 2024
Sole Proprietor: No

Mailing Address

5955 Zeamer Ave

Jber, AK 995063702

Phone: 9075806800

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.