Jennifer Blair Anderson, RPH
Individual provider Active NPI Pharmacist · Morehead, KY
NPI 1447355169 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447355169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 011132 (KY)
- Practice address
- 208 E Main St
Morehead, KY 40351-1620 - Phone
- (606) 784-4784
- Fax
- (606) 784-5858
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011132 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cia Drug LLC | Current | Accepting new patients | |
| C&C Drugs | Past | Accepting new patients |
Locations
208 E Main St
Morehead, KY 40351
Phone (606) 784-4784
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011132 | KY | Yes |
Addresses
Primary practice location
208 E Main St
Morehead, KY 40351-1620
Mailing address
208 E Main St
Morehead, KY 40351-1620
Phone (606) 784-4784
Other names
- Mrs. Jennifer Lee Blair
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.