Active NPI
Cameryn Anderson, PHARM.D.
- Pharmacist
- Ripley, TN
National Provider Identifier
1629588371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39274
- Practice address
- 251 S Washington St
Ripley, TN 38063-1736 - Phone
- (731) 635-2232
- NPI assigned
- Oct 9, 2017
- Last updated
- Oct 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39274 | TN | Primary |
Addresses
Primary practice location
251 S Washington St
Ripley, TN 38063-1736
Mailing address
251 S Washington St
Ripley, TN 38063-1736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4444612 | Medicaid | TN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39274 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1629588371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 S WASHINGTON ST",
"city": "RIPLEY",
"state": "TN",
"postal_code": "380631736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 S WASHINGTON ST",
"city": "RIPLEY",
"state": "TN",
"postal_code": "380631736",
"telephone_number": "731-635-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CAMERYN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "39274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4444612",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ripley, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.