Crystal Anderson
Individual provider Active NPI Pharmacist · Sioux City, IA
NPI 1134612385 · NPPES record last updated Jun 12, 2018
Key facts
- NPI
- 1134612385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20528 (IA)
- Practice address
- 911 W 7TH St
Sioux City, IA 51103-5336 - Phone
- (712) 252-2761
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20528 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unco Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20528 | IA | Yes |
Addresses
Primary practice location
911 W 7TH St
Sioux City, IA 51103-5336
Mailing address
911 W 7TH St
Sioux City, IA 51103-5336
Phone (712) 252-2761
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2018. 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.