Active NPI
Austin Kyle Anderson, PHARM D
- Pharmacist
- Anchorage, AK
National Provider Identifier
1467733865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1628
- Practice address
- 4125 Debarr Rd
Anchorage, AK 99508-3115 - Phone
- (907) 269-9505
- NPI assigned
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1628 | AK | Primary |
Addresses
Primary practice location
4125 Debarr Rd
Anchorage, AK 99508-3115
Mailing address
4125 Debarr Rd
Anchorage, AK 99508-3115
Phone (907) 269-9505
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336780800000",
"number": "1467733865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4125 DEBARR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995083115",
"telephone_number": "907-269-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4125 DEBARR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995083115",
"telephone_number": "907-269-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "AUSTIN",
"middle_name": "KYLE",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2012-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.