Active NPI
Brett A Anderson, R.PH.
- Pharmacist
- Davenport, IA
National Provider Identifier
1487780359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17903
- Practice address
- 3019 Rockingham Rd
Hy-Vee Pharmacy
Davenport, IA 52722-1949 - Phone
- (563) 322-7573
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Davenport, IA
- NPI 1992731160
-
- Community/Retail Pharmacy
- Wausau, WI
- NPI 1396619839
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients | |
| Hy-Vee Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17903 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3019 Rockingham Rd
Hy-Vee Pharmacy
Davenport, IA 52722-1949
Mailing address
2020 Danbury Dr
Bettendorf, IA 52722-1949
Phone (563) 441-0773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2008.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1487780359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 DANBURY DR",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221949",
"telephone_number": "563-441-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 ROCKINGHAM RD",
"address_2": "HY-VEE PHARMACY",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "527221949",
"telephone_number": "563-322-7573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BRETT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.