Jennifer Anderson, RPH, PHARMD
Individual provider Active NPI Pharmacist · Bennington, VT
NPI 1366091308 · NPPES record last updated Apr 30, 2020
Key facts
- NPI
- 1366091308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH25450 (MA)
- Practice address
- 205 North St
Bennington, VT 05201-1829 - Phone
- (802) 442-5602
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH25450 | MA | MD | Pharmacist |
| 033.0082402 | VT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0082402 | VT | |
| Pharmacist | 183500000X | PH25450 | MA | Yes |
Addresses
Primary practice location
205 North St
Bennington, VT 05201-1829
Mailing address
65 McArthur Dr
Clarksburg, MA 01247-2146
Phone (413) 652-4178
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.anderson@pharmacyinc.net | Other |
Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2020. 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.