Michael Anthony
Individual provider Active NPI Pharmacist · Bryan, TX
NPI 1487256384 · NPPES record last updated Nov 15, 2020
Key facts
- NPI
- 1487256384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35865 (TX)
- Practice address
- 3214 Rose Hill LN
Bryan, TX 77808-1475 - Phone
- (979) 777-9068
- Fax
- (979) 458-8294
- NPI assigned
- Nov 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35865 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 35865 | TX | Yes |
Addresses
Primary practice location
3214 Rose Hill LN
Bryan, TX 77808-1475
Mailing address
3214 Rose Hill LN
Bryan, TX 77808-1475
Phone (979) 777-9068
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2020. 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.