Individual provider Active NPI

Donald Edward Anderson Jr., PHARMD

  • Pharmacist
  • Florence, AL
National Provider Identifier
1093338626
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14602 Issued in AL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14602ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Intercept Apothecary LLC CurrentSince Sep 15, 2024 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.

Verify at the official NPI Registry.