Active NPI
Elizabeth Anne Anderson, RPH
- Pharmacist
- Eugene, OR
National Provider Identifier
1093088551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10013
- Practice address
- 2815 Chad Dr
Eugene, OR 97408-7335 - Phone
- (541) 686-0094
- Fax
- (541) 338-9894
- NPI assigned
- Feb 14, 2012
- 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 | 10013 | OR | Primary |
| Pharmacist | 183500000X | 16870 | NV |
Addresses
Primary practice location
2815 Chad Dr
Eugene, OR 97408-7335
Mailing address
38676 Palmyre Dr
Lebanon, OR 97355-9284
Phone (541) 686-0094
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 |
|---|---|---|---|
| 16870 | NV | MD | Pharmacist |
| 10013 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1093088551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38676 PALMYRE DR",
"city": "LEBANON",
"state": "OR",
"postal_code": "973559284",
"telephone_number": "541-686-0094",
"fax_number": "541-338-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 CHAD DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974087335",
"telephone_number": "541-686-0094",
"fax_number": "541-338-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "10013",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "16870",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.