Individual provider Active NPI

Andrew S Anderson, PHARMD, RPH, AAHIVP

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1619456381
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64702 Issued in TX
Practice address
2801 Lemmon Ave Ste 100
Dallas, TX 75204-2396
Phone
(469) 749-7824
Fax
(469) 749-7825
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03337383 OH
Pharmacist 183500000X 64702 TX Primary

Addresses

Primary practice location

2801 Lemmon Ave Ste 100
Dallas, TX 75204-2396

Mailing address

2801 Lemmon Ave Ste 100
Dallas, TX 75204-2396
Phone (469) 749-7824

Other practice location 1

1033 N High St
Columbus, OH 43201-2409
Phone (614) 340-6776

Other practice location 2

4907 Spring Ave Ste 101
Dallas, TX 75210
Phone (214) 565-8551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03337383OHMDPharmacist
64702TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Arms, Inc. CurrentSince Sep 21, 2025 Accepting new patients
Ehp Texas LLC CurrentSince Oct 19, 2020 Accepting new patients

Locations

4907 Spring Ave
Ste 101
Dallas, TX 75210
Phone (214) 565-8551

2801 Lemmon Ave
Ste 100
Dallas, TX 75204
Phone (469) 749-7824

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1619456381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042396",
            "telephone_number": "469-749-7824",
            "fax_number": "469-749-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042396",
            "telephone_number": "469-749-7824",
            "fax_number": "469-749-7825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432012409",
            "country_code": "US",
            "telephone_number": "614-340-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4907 Spring Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75210",
            "country_code": "US",
            "telephone_number": "214-565-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "PHARMD, RPH, AAHIVP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03337383",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "64702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.