Polly Nicole Anderson, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0007932 Issued in WV

Practice address

471 Main St
Madison, WV 25130-1223

Phone

(304) 369-5170

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2019.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1235699703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251302200",
            "telephone_number": "304-369-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301223",
            "telephone_number": "304-369-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "POLLY",
        "middle_name": "NICOLE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV PHAMACIST LICENSE",
            "identifier": "RP0007932",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara L Akers
• Anderson Enterprises, Inc.
• Anson Lamar Anderson, HIS
• Kaylla Leeann Anderson
• Kenneth Anderson
• Jasmine Anderton
• Adrian Irene Armstrong
• Wendy Asbury
• Atkins DDS Inc
• Erin Atkins

• All providers in Madison, WV
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.