Melissa B Anderson, RPH, PHARMD
Individual provider Active NPI Pharmacist · Powell, TN
NPI 1457572422 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1457572422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11026 (LA)
- Practice address
- 8235 Gamblers Choice TRL
Powell, TN 37849-5804 - Phone
- (907) 227-9379
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1611 | AK | MD | Pharmacist |
| 11026 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1611 | AK | |
| Pharmacist | 183500000X | 11026 | LA | Yes |
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
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2021. 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.