Darrin Anderson, PHARMD.

Individual provider Active NPI Pharmacist · Powder Springs, GA

NPI 1679859664 · NPPES record last updated Oct 23, 2011

Key facts

NPI
1679859664
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH024246 (GA)
Practice address
5230 Dallas Hwy
Powder Springs, GA 30127-4263
Phone
(770) 792-8250
Fax
(770) 792-7309
NPI assigned
Oct 23, 2011
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH024246GAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH024246 GA Yes

Addresses

Primary practice location

5230 Dallas Hwy
Powder Springs, GA 30127-4263

Mailing address

5230 Dallas Hwy
Powder Springs, GA 30127-4263
Phone (770) 792-8250

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 23, 2011.

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319328000000",
    "number": "1679859664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 DALLAS HWY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274263",
            "telephone_number": "770-792-8250",
            "fax_number": "770-792-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 DALLAS HWY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274263",
            "telephone_number": "770-792-8250",
            "fax_number": "770-792-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DARRIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH024246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

All providers in Powder Springs, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.