Lauren Anderson
Individual provider Active NPI Pharmacist · Cleveland, OH
NPI 1144845843 · NPPES record last updated Jun 9, 2020
Key facts
- NPI
- 1144845843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03135579 (OH)
- Practice address
- 3400 Steelyard Dr
Cleveland, OH 44109-2386 - Phone
- (216) 661-5561
- NPI assigned
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 03135579 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past |
Accepting new patients | |
| Wal-Mart Stores East, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03135579 | OH | Yes |
Addresses
Primary practice location
3400 Steelyard Dr
Cleveland, OH 44109-2386
Mailing address
1215 W 10TH St Apt 607
Cleveland, OH 44113-1280
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2020. 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.