William Anderson II, ROH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS18181 Issued in FL

Practice address

69 Valencia St
St Augustine, FL 32084-3541

Phone

(904) 824-5625

NPI assigned

Jan 14, 2013

Last updated

Jan 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1477890275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 VALENCIA ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843541",
            "telephone_number": "904-824-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 VALENCIA ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843541",
            "telephone_number": "904-824-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "ROH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS18181",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH13138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Anderson
• Luis M Anderson, M.D.
• Marcus Walter Anderson, M.D.
• Stephen Anderson
• Tayler Breanne Anderson, LMT
• Andrea Levinson
• Emma Andrews, RBT
• Jennifer V Angel, APRN
• Lisa Ann Angel, LMFT
• Anovus, Inc

• Pharmacist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.