Active NPI
Steven F Anderson, RPH
- Pharmacist
- Everett, WA
National Provider Identifier
1174507610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010939
- Practice address
- 802 134TH St SW Ste 140
Everett, WA 98204-7314 - Phone
- (425) 835-5830
- Fax
- (425) 835-4212
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10718415-1701 | UT | |
| Pharmacist | 183500000X | PH00010939 | WA | Primary |
Addresses
Primary practice location
802 134TH St SW Ste 140
Everett, WA 98204-7314
Mailing address
802 134TH St SW Ste 140
Everett, WA 98204-7314
Phone (425) 835-5830
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10718415-1701 | UT | MD | Pharmacist |
| PH00010939 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1174507610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 134TH ST SW STE 140",
"city": "EVERETT",
"state": "WA",
"postal_code": "982047314",
"telephone_number": "425-835-5830",
"fax_number": "425-835-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 134TH ST SW STE 140",
"city": "EVERETT",
"state": "WA",
"postal_code": "982047314",
"telephone_number": "425-835-5830",
"fax_number": "425-835-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "STEVEN",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "10718415-1701",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.