Organization Active NPI

Anderson Pharmacist Group LLC

Doing business as Anderson Apothecary

  • Community/Retail Pharmacy
  • Lawrenceburg, KY
National Provider Identifier
1508287095
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ANDERSON PHARMACIST GROUP LLC
Doing business as
Anderson Apothecary
Practice address
90 Plaza Dr
Lawrenceburg, KY 40342-9056
Phone
(502) 839-4854
Fax
(502) 839-4857
NPI assigned
Dec 30, 2013
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Mr. Jerry Barnette, RPH
Title
Owner
Phone
(502) 839-4854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

90 Plaza Dr
Lawrenceburg, KY 40342-9056

Mailing address

90 Plaza Dr
Lawrenceburg, KY 40342-9056
Phone (502) 839-4854

Other names 1

  • Anderson Apothecary Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190930001722 KY Part B Supplier - Mass Immunization (Roster Biller Only) 4284964552 Practice locations: Lawrenceburg, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2195742Anderson Apothecary90 Plaza Drive, Lawrenceburg, KY 40342Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Locations

90 Plaza Dr
Lawrenceburg, KY 40342
Phone (502) 839-4854

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1508287095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PLAZA DR",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429056",
            "telephone_number": "502-839-4854",
            "fax_number": "859-520-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PLAZA DR",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429056",
            "telephone_number": "502-839-4854",
            "fax_number": "502-839-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PHARMACIST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "BARNETTE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-839-4854",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Apothecary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anderson Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.