Laura A Anderson, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

43425 Issued in TX

Practice address

12601 Tech Ridge Blvd
Austin, TX 78753-3451

Phone

(512) 491-6051

Fax

(512) 491-7749

NPI assigned

Dec 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Laura A Mickey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Austin, TX
  • NPI 1982619078
  NPD (past)

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1396074282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 TECH RIDGE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533451",
            "telephone_number": "512-491-6051",
            "fax_number": "512-491-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 TECH RIDGE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533451",
            "telephone_number": "512-491-6051",
            "fax_number": "512-491-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43425",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "12853",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MICKEY",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PHARMD, RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaiti Sue Anderson, LMT,CMLDT
• Kala Anderson, CD(DONA)
• Kara Marie Anderson, CCC-SLP
• Kevin Anderson, MD
• Kimberly Anderson, PA-C
• Laura Poenie Anderson, NNP
• Leslie Paige Anderson
• Lisa Anderson, OTR
• Mary I. Anderson, M.D.
• Matthew Allen Anderson, MD

• Pharmacist in Austin, TX
• Providers in Austin, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.