Shaun Anderson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2019024422 Issued in MO

Practice address

500 E 19TH St Ste D
Mountain Grove, MO 65711-1115

Phone

(417) 349-2668

Fax

(866) 291-1699

NPI assigned

Dec 4, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Ozarks Medical Center

  • Community/Retail Pharmacy
  • Mountain Grove, MO
  • NPI 1720867369
  NPD
• Ozarks Medical Center

  • Psychiatric Hospital Unit
  • West Plains, MO
  • NPI 1235929027
  NPD (past)

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1427825199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 COUNTY LINE RD",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657112843",
            "telephone_number": "417-349-2668",
            "fax_number": "866-291-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 19TH ST STE D",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111115",
            "telephone_number": "417-349-2668",
            "fax_number": "866-291-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHAUN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019024422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Adler, PHARMD
• Ads Mt. Grove LP
• Tammy G. Albrecht, MD
• Virginia May Allsman, LPC
• American Homepatient, Inc.
• Stephanie Dawn Anderson, SLP-A
• Connie Armstrong
• Jose A Atiles, MD
• Cynthia Breid Baker, M.S., CCC-SLP
• Lauren Jean Bales, DDS

• All providers in Mountain Grove, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.