M Shawn Anderson RPH PC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

35177 Issued in OK

Legal business name

M SHAWN ANDERSON RPH PC

Practice address

5366 NW Cache Rd
Suite 1
Lawton, OK 73505-3335

Phone

(580) 595-9500

Fax

(580) 585-6524

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Michael Shawn Anderson, RPHNPI 1083716302

Title

Pic, President

Phone

(580) 595-9500

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• ANDERSON PHARMACY AND ACCENTS Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Michael Shawn Anderson, DPH

  • Pharmacist
  • Lawton, OK
  • NPI 1083716302
  NPD Authorized official
• Lucas Coody, PHARMD

  • Pharmacist
  • Lawton, OK
  • NPI 1336614650
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1689725673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 NW CACHE RD",
            "address_2": "SUITE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053335",
            "telephone_number": "580-595-9500",
            "fax_number": "580-585-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 NW CACHE RD",
            "address_2": "SUITE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053335",
            "telephone_number": "580-595-9500",
            "fax_number": "580-585-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SHAWN ANDERSON RPH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PIC, PRESIDENT",
        "authorized_official_telephone_number": "580-595-9500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "35177",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246120A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDERSON PHARMACY AND ACCENTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn M R Lyles, LMFT
• Lynch & Lynch, PC
• Darrell Lynch, PHD
• James Lynch, D.PH.
• Jana Lynch, PHD
• Vinicius Machado Jorge, M.D.
• Ancelma Machado
• Christine A Machado
• Jamie Machuca, COTA/L
• Valerie Flores Macias

• Community/Retail Pharmacy in Lawton, OK
• Providers in Lawton, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.