Olivia Anderson, PHARMD
Individual provider Active NPI Pharmacist · Beebe, AR
NPI 1568064095 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1568064095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD09693 (AR)
- Practice address
- 2003 W Center St
Beebe, AR 72012-2544 - Phone
- (501) 944-7665
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD09693 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past |
Accepting new patients | |
| Walmart Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD09693 | AR | Yes |
Addresses
Primary practice location
2003 W Center St
Beebe, AR 72012-2544
Mailing address
100 Logan LN
Beebe, AR 72012-9428
Phone (501) 944-7665
Other providers in Beebe, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 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.