Active NPI
Sandra Irish Anderson, RPH
- Pharmacist
- Bullard, TX
National Provider Identifier
1023625514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28189
- Practice address
- 213 US Highway 69 N
Bullard, TX 75757-5135 - Phone
- (903) 894-9648
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28189 | TX | Primary |
Addresses
Primary practice location
213 US Highway 69 N
Bullard, TX 75757-5135
Mailing address
208 King CT
Bullard, TX 75757-9517
Phone (903) 316-4352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28189 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1023625514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 KING CT",
"city": "BULLARD",
"state": "TX",
"postal_code": "757579517",
"telephone_number": "903-316-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 US HIGHWAY 69 N",
"city": "BULLARD",
"state": "TX",
"postal_code": "757575135",
"telephone_number": "903-894-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SANDRA",
"middle_name": "IRISH",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullard, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.