Active NPI
Lowell John Anderson, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Minneapolis, MN
National Provider Identifier
1275836710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 110462
- Practice address
- 308 Harvard St SE
7-172 Weaver-Densford Hall
Minneapolis, MN 55455-0353 - Phone
- (612) 622-5158
- NPI assigned
- Dec 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 110462 | MN | Primary |
Addresses
Primary practice location
308 Harvard St SE
7-172 Weaver-Densford Hall
Minneapolis, MN 55455-0353
Mailing address
308 Harvard St SE
7-172 Weaver-Densford Hall
Minneapolis, MN 55455-0353
Phone (612) 622-5158
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 |
|---|---|---|---|
| 110462 | MN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1275836710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 HARVARD ST SE",
"address_2": "7-172 WEAVER-DENSFORD HALL",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550353",
"telephone_number": "612-622-5158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 HARVARD ST SE",
"address_2": "7-172 WEAVER-DENSFORD HALL",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550353",
"telephone_number": "612-622-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LOWELL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-06",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MN",
"license": "110462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.