Brendan Anderson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH6505 Issued in ND

Practice address

2425 13TH Ave S
Fargo, ND 58103-3749

Phone

(701) 232-4872

NPI assigned

Aug 1, 2023

Last updated

Sep 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Drug Stores Delaware LLC

  dba CVS Pharmacy #08611

  • Pharmacy
  • Minot, ND
  • NPI 1700828993
  NPD (past)
• American Drug Stores Delaware LLC

  dba CVS Pharmacy #08612

  • Pharmacy
  • Fargo, ND
  • NPI 1821039793
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1609558410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 BELSLY BLVD APT 110",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605288",
            "telephone_number": "218-343-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033749",
            "telephone_number": "701-232-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRENDAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "126250",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Anderson, NP
• Brad C Anderson, DPM
• Bradley Jon Anderson, D.D.S
• Brandan Alan Anderson, D.C.
• Brandi J Anderson
• Brian D Anderson, LMSW
• Bridget L Anderson, DPT
• Brittany Sue Anderson, PT, DPT
• Carlee P Anderson, LPCC
• Carol Ann Anderson, SLP

• Pharmacist in Fargo, ND
• Providers in Fargo, ND by specialty
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; 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.