Michael Anderson, RPH
Individual provider Active NPI Pharmacist · Romeoville, IL
NPI 1154621647 · NPPES record last updated Oct 30, 2010
Key facts
- NPI
- 1154621647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051-036908 (IL)
- Practice address
- 435 N Weber Rd
Romeoville, IL 60446-3972 - Phone
- (815) 293-3309
- NPI assigned
- Oct 30, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-036908 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-036908 | IL | Yes |
Addresses
Primary practice location
435 N Weber Rd
Romeoville, IL 60446-3972
Mailing address
435 N Weber Rd
Romeoville, IL 60446-3972
Phone (815) 293-3309
Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2010. 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.