Kristin Anderson, PHARMD

Individual provider Active NPI Pharmacist · Lansing, MI

NPI 1376217877 · NPPES record last updated Aug 24, 2021

Key facts

NPI
1376217877
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5302413629 (MI)
Practice address
2701 S Cedar St
Lansing, MI 48910-3028
Phone
(517) 272-9190
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
5302413629MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Michigan Inc Past
since Aug 8, 2021
Accepting new patients
Rite Aid of Michigan Inc Past
since Aug 8, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302413629 MI Yes

Addresses

Primary practice location

2701 S Cedar St
Lansing, MI 48910-3028

Mailing address

847 Reynard St SE
Grand Rapids, MI 49507-3611
Phone (315) 576-5066

Other providers in Lansing, MI

All providers in Lansing, MI · Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.