Active NPI
Donald Edward Anderson Jr., PHARMD
- Pharmacist
- Florence, AL
National Provider Identifier
1093338626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14602
- Practice address
- 112 S Pine St Ste 107
Florence, AL 35630-5509 - Phone
- (888) 277-8916
- NPI assigned
- May 18, 2020
- Last updated
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14602 | AL | Primary |
Addresses
Primary practice location
112 S Pine St Ste 107
Florence, AL 35630-5509
Mailing address
217 Pawnee CT
Florence, AL 35634-2029
Phone (334) 425-7614
Other practice location 1
217 Pawnee Ct
Florence, AL 35634-2029
Phone (334) 425-7614
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 |
|---|---|---|---|
| 14602 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercept Apothecary LLC | Current | Accepting new patients |
Locations
112 S Pine St
Ste 107
Florence, AL 35630
Phone (888) 277-8916
Organizations & group practices 1
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": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1093338626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 PAWNEE CT",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356342029",
"telephone_number": "334-425-7614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S PINE ST STE 107",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305509",
"telephone_number": "888-277-8916"
}
],
"practiceLocations": [
{
"address_1": "217 Pawnee Ct",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356342029",
"country_code": "US",
"telephone_number": "334-425-7614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "DONALD",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-18",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.