Philip Anderson
Individual provider Active NPI Pharmacist · Norfolk, NE
NPI 1508522764 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1508522764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16587 (NE)
- Practice address
- 1300 W Norfolk Ave
Norfolk, NE 68701-4834 - Phone
- (402) 371-2340
- NPI assigned
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 16587 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
1300 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-2340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16587 | NE | Yes |
Addresses
Primary practice location
1300 W Norfolk Ave
Norfolk, NE 68701-4834
Mailing address
3513 Golf View Dr
Norfolk, NE 68701-3105
Phone (402) 650-9627
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. 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.