Andersons Drug Store Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

02106200 Issued in OH

Legal business name

ANDERSONS DRUG STORE INC

Doing business as

ANDERSON DRUG STORE

Practice address

160 E Main St
Chillicothe, OH 45601-2506

Phone

(740) 774-2670

Fax

(740) 779-0296

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

David M Dixon

Title

VP and MGR

Phone

(740) 774-2670

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ANDERSON DRUG STORE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Brauner

  • Ambulatory Care Pharmacist
  • Chillicothe, OH
  • NPI 1164955845
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1669537080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012506",
            "telephone_number": "740-774-2670",
            "fax_number": "740-779-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012506",
            "telephone_number": "740-774-2670",
            "fax_number": "740-779-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSONS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP AND MGR",
        "authorized_official_telephone_number": "740-774-2670"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "02106200",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197755",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3617163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDERSON DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody Isaac Anderson, MSW, LSW
• Helen Kristine Anderson
• Jay S Anderson, PHARM.D., R.PH.
• Kristy L Anderson, PCC
• Susan Marie Anderson, CCC-SLP
• Jennifer Elaine Angus
• Another Chance IHS LLC
• Mbah Anyangwe, PHARMD, RPH
• Ara-Chillicothe Dialysis LLC
• Charlena Violet Archer, LPN

• Durable Medical Equipment & Medical Supplies in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.