Jeremy Paul Anderson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

117013-3 Issued in MN

Practice address

221 4TH Ave SW
Rochester, MN 55905-0014

Phone

(507) 284-8880

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: janderson129582@ehrdirect.mayoclinicmsg.org

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1649259680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 14TH AVE NW",
            "city": "KASSON",
            "state": "MN",
            "postal_code": "559441684",
            "telephone_number": "507-634-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 4TH AVE SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050014",
            "telephone_number": "507-284-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEREMY",
        "middle_name": "PAUL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117013-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janderson129582@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jana L Anderson, MD
• Jason H Anderson, MD
• Jay Marcus Anderson, D.O.
• Jennifer Ann Anderson, N.P.
• Jennifer Leigh Anderson, MS, LCGC
• John J Anderson, LICSW
• Jordan Marie Anderson, DNP, APRN, CNP
• Kaitlin Marie Anderson, RD, LD
• Katelyn R Anderson, MD
• Katherine Theisen Anderson, M.D.

• Pharmacist in Rochester, MN
• Providers in Rochester, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.