Anderson Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1296821703 Issued in UT

Legal business name

ANDERSON DRUG INC

Practice address

1 N Main St
Ephraim, UT 84627-1129

Phone

(435) 283-4444

Fax

(435) 283-4070

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

P Jeffery Anderson, RPH

Title

Owner

Phone

(435) 283-4444

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ANDERSON DRUG Doing business as

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1508913666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271129",
            "telephone_number": "435-283-4444",
            "fax_number": "435-283-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271129",
            "telephone_number": "435-283-4444",
            "fax_number": "435-283-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "P JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-283-4444",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "1296821703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2106950",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870439428006",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDERSON DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Allen, LCSW
• Sarah Starbird Allen, ACMHC
• Heather Allred
• Crystal Alvarez
• Cindy Fay Anderson
• Shayla Anderson
• Hunter Atkinson, CSW
• Dana M. Bagnall, CHHWC
• Darcey Bardsley

• Community/Retail Pharmacy in Ephraim, UT
• Providers in Ephraim, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.