Lisa Anderson Kocian, PHARMD, CDE

Primary specialty

PharmacistTaxonomy code 183500000X

License

33283 Issued in TX

Practice address

600 S Palestine St Ste 100
Athens, TX 75751-3310

Phone

(903) 675-7069

Fax

(903) 677-9459

NPI assigned

May 26, 2006

Last updated

Nov 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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

Practice roles

Locations

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.

• Malakoff Prescription Shop, Inc

  • Community/Retail Pharmacy
  • Malakoff, TX
  • NPI 1154374197
  NPD Authorized official
• Gibson Pharmacy, LLC

  dba Anderson's Gibson Pharmacy

  • Community/Retail Pharmacy
  • Athens, TX
  • NPI 1295786432
  NPD
• Gibson Pharmacy, LLC

  dba Anderson's Gibson Pharmacy

  • Long Term Care Pharmacy
  • Athens, TX
  • NPI 1821578865
  NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1669428843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAKEFRONT SHORES RD",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757525752",
            "telephone_number": "903-675-7062",
            "fax_number": "903-677-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PALESTINE ST STE 100",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513310",
            "telephone_number": "903-675-7069",
            "fax_number": "903-677-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON KOCIAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TX",
            "license": "09620010",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "33283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "33283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J. Brandon Allen, D.D.S.
• Kristal Allen, M.S., CCC-SLP
• Janine C. Aman, O.D.
• Amanah Investments, LLC (Anderson Drug Long Term Care)
• Anchor Health, LLC
• Andrwes Center/ Athens Place
• Kenneth Antoine, CRNA
• Assisted Living Concepts Inc (Lakeland House)
• Lailane Asuncion
• Athens Anesthesia Services, PA

• Pharmacist in Athens, TX
• Providers in Athens, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.