Anton Anderson, PHARMD
Individual provider Active NPI Pharmacist · Norfolk, NE
NPI 1073149688 · NPPES record last updated Mar 14, 2020
Key facts
- NPI
- 1073149688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14555 (NE)
- Practice address
- 1301 W Norfolk Ave
Norfolk, NE 68701-4833 - Phone
- (402) 371-9438
- NPI assigned
- Mar 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14555 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska CVS Pharmacy LLC | Past |
Accepting new patients | |
| Nebraska CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14555 | NE | Yes |
Addresses
Primary practice location
1301 W Norfolk Ave
Norfolk, NE 68701-4833
Mailing address
1301 W Norfolk Ave
Norfolk, NE 68701-4833
Phone (402) 371-9438
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.