Individual provider Active NPI

Andrew Herder, PHARMD

  • Pharmacist
  • Mansfield, OH
National Provider Identifier
1134850092
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03230530 Issued in OH
Practice address
715 Richland Mall Ste J
Mansfield, OH 44906-3802
Phone
(567) 307-7570
Fax
(567) 307-7571
NPI assigned
Jun 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03230530 OH Primary

Addresses

Primary practice location

715 Richland Mall Ste J
Mansfield, OH 44906-3802

Mailing address

2032 Stone Hedge LN
Ashland, OH 44805-4588
Phone (419) 565-5970

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
03230530OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Galion Community Hospital PastSince Jun 26, 2022 Accepting new patients
Galion Community Hospital PastSince Jun 26, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1134850092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 STONE HEDGE LN",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054588",
            "telephone_number": "419-565-5970",
            "fax_number": "567-307-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 RICHLAND MALL STE J",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063802",
            "telephone_number": "567-307-7570",
            "fax_number": "567-307-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03230530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.