Brenda Anderson, R.PH.
Individual provider Active NPI Pharmacist · Trinity, FL
NPI 1619261963 · NPPES record last updated Jun 3, 2011
Key facts
- NPI
- 1619261963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS38235 (FL)
- Practice address
- 2900 Little Rd
Trinity, FL 34655-4420 - Phone
- (727) 376-5466
- Fax
- (727) 376-5466
- NPI assigned
- Jun 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS38235 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS38235 | FL | Yes |
Addresses
Primary practice location
2900 Little Rd
Trinity, FL 34655-4420
Mailing address
2900 Little Rd
Trinity, FL 34655-4420
Phone (727) 376-5466
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2011. 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.