Anne Winne Fisher, PHARMACIST
Individual provider Active NPI Pharmacist · Millbrae, CA
NPI 1356623243 · NPPES record last updated Sep 15, 2011
Key facts
- NPI
- 1356623243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 032526 (CA)
- Practice address
- 615 Broadway
Millbrae, CA 94030-1909 - Phone
- (650) 697-0166
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032526 | CA | MD | Pediatric Dentist |
| 03111153 | OH | MD | Pharmacist |
| 0202004672 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032526 | CA | Yes |
| Pharmacist | 183500000X | 0202004672 | VA | |
| Pharmacist | 183500000X | 03111153 | OH |
Addresses
Primary practice location
615 Broadway
Millbrae, CA 94030-1909
Mailing address
830 Crestview Dr
San Carlos, CA 94070-3457
Phone (650) 591-4749
Other providers in Millbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2011. 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.