Andre Alexander Abarca Anderson, PHARMD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI 1689477192 · NPPES record last updated Mar 31, 2025

Key facts

NPI
1689477192
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
800 Rose St RM H110
Lexington, KY 40536-0293
Phone
(859) 323-4756
Fax
(859) 323-0069
NPI assigned
Mar 31, 2025
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

800 Rose St RM H110
Lexington, KY 40536-0293

Mailing address

800 Rose St RM H110
Lexington, KY 40536-0293
Phone (859) 323-4756

Other providers in Lexington, KY

All providers in Lexington, KY · Student in an Organized Health Care Education/Training Program in Kentucky

Sources for this page

Verify at the official NPI Registry.