Active NPI
Edward Anderson, PHARMD
- Pharmacist
- Spanaway, WA
National Provider Identifier
1043596026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60213046
- Practice address
- 22303 Mountain Hwy E
Spanaway, WA 98387-7529 - Phone
- (253) 875-4033
- NPI assigned
- Oct 22, 2011
- Last updated
- Feb 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH60213046 | WA | |
| Pharmacist | 183500000X | PH60213046 | WA | Primary |
Addresses
Primary practice location
22303 Mountain Hwy E
Spanaway, WA 98387-7529
Mailing address
365 Renton Center Way SW
Renton, WA 98057-2324
Other practice location 1
365 Renton Center Way SW
Renton, WA 98057-2324
Phone (425) 204-5233
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60213046 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1043596026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 RENTON CENTER WAY SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22303 MOUNTAIN HWY E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983877529",
"telephone_number": "253-875-4033"
}
],
"practiceLocations": [
{
"address_1": "365 Renton Center Way SW",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980572324",
"country_code": "US",
"telephone_number": "425-204-5233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-22",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH60213046",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60213046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spanaway, WA
- Akimma Wright Dabreau Counseling, Dba. Hope Grows Counseling, PLLC
- Gloria Abrigo Almero, REGISTERED NURSE
- Kristina Alyabiev, LMP
- Jennifer A Amanquanor
- Casey M Anderson, DPT
- Katherine Anderson
- Sherri Lynn Anderson, COTA/L
- Kayla Michelle Anthony, CH61608031
- Apple Physical Therapy, PS (ATI Physical Therapy)
- Kimberly Jean Applebee, NURSE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.