Jonathon L Anderson, PHARMD.
Individual provider Active NPI Pharmacist · Hazelwood, MO
NPI 1184901431 · NPPES record last updated Nov 14, 2011
Key facts
- NPI
- 1184901431
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2011021850 (MO)
- Practice address
- 7398 N Lindbergh Blvd
Hazelwood, MO 63042-2033 - Phone
- (314) 972-1257
- NPI assigned
- Nov 14, 2011
- Sex
- Male
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011021850 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2011021850 | MO | Yes |
Addresses
Primary practice location
7398 N Lindbergh Blvd
Hazelwood, MO 63042-2033
Mailing address
7398 N Lindbergh Blvd
Hazelwood, MO 63042-2033
Phone (314) 972-1257
Other providers in Hazelwood, MO
- Alpha Creek in Home Health Services LLC
- Always Caring Home Health Care LLC
- American Current Care of Kansas PA
- American Current Care P.a.
- Ananda Chiropractic and Acupuncture LLC
- Scott Anderson
- Angel Wings Nursing Services LLC
- Angels of Mercy Healthcare, Inc.
- Anointed Seasoned Adults
- Kelsey Lynne Anstandig
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2011. 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.