Individual provider Active NPI

Melissa B Anderson, RPH, PHARMD

  • Pharmacist
  • Powell, TN
National Provider Identifier
1457572422
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11026 Issued in LA
Practice address
8235 Gamblers Choice TRL
Powell, TN 37849-5804
Phone
(907) 227-9379
NPI assigned
May 1, 2007
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1611 AK
Pharmacist 183500000X 11026 LA Primary

Addresses

Primary practice location

8235 Gamblers Choice TRL
Powell, TN 37849-5804

Mailing address

8235 Gamblers Choice TRL
Powell, TN 37849-5804
Phone (907) 227-9379

Other practice location 1

3163 N. Arctic Fox Drive
Wasilla, AK 99654
Phone (907) 373-2093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1611AKMDPharmacist
11026LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1457572422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 GAMBLERS CHOICE TRL",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495804",
            "telephone_number": "907-227-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 GAMBLERS CHOICE TRL",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495804",
            "telephone_number": "907-227-9379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3163 N. ARCTIC FOX DRIVE",
            "address_purpose": "LOCATION",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "country_code": "US",
            "telephone_number": "907-373-2093",
            "fax_number": "907-373-2093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELISSA",
        "middle_name": "B",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "1611",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "11026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.