Leroy M. Anderson Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410063L Issued in PA

Legal business name

LEROY M. ANDERSON INC

Doing business as

Anderson Pharmacy

Practice address

334 Main St
Denver, PA 17517-1448

Phone

(717) 336-2292

Fax

(717) 336-1112

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Leroy Anderson

Title

Owner

Phone

(717) 336-2292

Specialties & licenses 1

Addresses

Other names 1

• Anderson Pharmacy Doing business as

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326112574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "DENVER",
            "state": "PA",
            "postal_code": "175171448",
            "telephone_number": "717-336-2292",
            "fax_number": "717-336-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "DENVER",
            "state": "PA",
            "postal_code": "175171448",
            "telephone_number": "717-336-2292",
            "fax_number": "717-336-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEROY M. ANDERSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-336-2292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410063L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Denver, PA
• Providers in Denver, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.