Active NPI
Candace Anderson, PHARMD
- Pharmacist
- Germantown, MD
National Provider Identifier
1053939686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH.60935565
- Practice address
- 18920 Moonwalk CT
Germantown, MD 20874-6119 - Phone
- (808) 989-0959
- NPI assigned
- Jul 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27117 | MD | |
| Pharmacist | 183500000X | PH.60935565 | WA | Primary |
Addresses
Primary practice location
18920 Moonwalk CT
Germantown, MD 20874-6119
Mailing address
18920 Moonwalk CT
Germantown, MD 20874-6119
Phone (808) 989-0959
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 |
|---|---|---|---|
| 27117 | MD | MD | Pharmacist |
| PH.60935565 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1053939686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18920 MOONWALK CT",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208746119",
"telephone_number": "808-989-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18920 MOONWALK CT",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208746119",
"telephone_number": "808-989-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CANDACE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27117",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH.60935565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.