Donald Ray Anderson, R PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S010170 Issued in AZ

Practice address

8730 E Broadway Blvd
Tucson, AZ 85710-4016

Phone

(520) 290-0667

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1417265646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8468 E AMETHYST PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857509788",
            "telephone_number": "520-749-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104016",
            "telephone_number": "520-290-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "R PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S010170",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26013258A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Erika Anderson, RN
• Danielle Monique Anderson, PHARMD
• Darek Anderson, P.A.-C
• David Eugene Anderson, PHD
• Deann Marie Anderson, NP
• Hanna Grace Anderson, PA-C
• Holley K Anderson
• Hollis Anderson, LMT
• Irene Anderson, M.ED.
• Jaimee Anderson, M.S. CCC-SLP

• Pharmacist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.