Individual provider Active NPI

Amber Anderson, PHARMD

  • Pharmacist
  • St George, UT
National Provider Identifier
1194432419
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8393275-1701 Issued in UT
Practice address
1849 W Sunset Blvd
Saint George, UT 84770-6508
Phone
(435) 879-5165
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23067 NV
Pharmacist 183500000X 8393275-1701 UT Primary

Addresses

Primary practice location

1849 W Sunset Blvd
Saint George, UT 84770-6508

Mailing address

211 W Center St
Ivins, UT 84738-6205
Phone (435) 619-1710

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rxm.11674@store.walgreens.com Direct WALGREEN CO

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
23067NVMDPharmacist
8393275-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Nov 13, 2022 Accepting new patients
Walgreen Co PastSince Nov 13, 2022 Accepting new patients

Locations

1849 W Sunset Blvd
St George, UT 84770
Phone (435) 879-5165

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1194432419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W CENTER ST",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386205",
            "telephone_number": "435-619-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 W SUNSET BLVD",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847706508",
            "telephone_number": "435-879-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMBER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "23067",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "8393275-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.11674@store.walgreens.com",
            "affiliation": "Y",
            "endpointDescription": "Company email",
            "affiliationName": "WALGREEN CO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Company email that other pharmacists have access too.",
            "address_1": "1849 W Sunset Blvd",
            "city": "Saint George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847706508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.