Stephen Lavern Anderson

Primary specialty

PharmacistTaxonomy code 183500000X

License

T08078 Issued in MS

Practice address

5796 US Highway 11
Purvis, MS 39475-5004

Phone

(601) 794-5525

Fax

(601) 794-2741

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anderson Drugs Inc

  • Community/Retail Pharmacy
  • Purvis, MS
  • NPI 1447393418
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1033786389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394750407",
            "telephone_number": "601-794-5525",
            "fax_number": "601-794-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5796 US HIGHWAY 11",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394755004",
            "telephone_number": "601-794-5525",
            "fax_number": "601-794-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHEN",
        "middle_name": "LAVERN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T08078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Acord Jr., DC
• Anderson Drugs Inc
• Mason Ross Anderson
• Jeremiah Mikel Andrews, LPC
• Misty Jones Barrett
• Jody Carl Bennett, P.T.
• Henry Bloomingburg, MD
• Booco LLC

• Pharmacist in Purvis, MS
• Providers in Purvis, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.