John Robert Anderson, PHARMD
Individual provider Active NPI Pharmacist · Mansfield, OH
NPI 1295591998 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1295591998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03228181 (OH)
- Practice address
- 741 Scholl Rd Ste P1
Mansfield, OH 44907-1587 - Phone
- (156) 730-7460
- Fax
- (419) 632-6005
- NPI assigned
- Feb 21, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 03228181 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Current |
Accepting new patients |
Locations
741 Scholl Rd
Ste P1
Mansfield, OH 44907
Phone (567) 307-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03228181 | OH | Yes |
Addresses
Primary practice location
741 Scholl Rd Ste P1
Mansfield, OH 44907-1587
Mailing address
741 Scholl Rd Ste P1
Mansfield, OH 44907-1587
Phone (567) 607-4600
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. 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.