Active NPI
Anderson Pharmacy Inc.
- Community/Retail Pharmacy
- Bay City, MI
National Provider Identifier
1710067244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ANDERSON PHARMACY INC.
- Practice address
- 1108 Marquette St
Bay City, MI 48706-4025 - Phone
- (989) 684-8905
- Fax
- (989) 684-7877
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steve T. Kennedy, R.PH.
- Title
- President
- Phone
- (989) 684-8905
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1108 Marquette St
Bay City, MI 48706-4025
Mailing address
1108 Marquette St
Bay City, MI 48706-4025
Phone (989) 684-8905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2500437 | Medicaid | MI |
Other names 1
- Anderson Pharmacy
National Provider Directory
National Provider DirectoryLocations
1108 Marquette St
Bay City, MI 48706
Phone (989) 684-8905
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bay City, MI
- NPI 1962561043
-
- Pharmacist
- Bay City, MI
- NPI 1013078583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484179200000",
"number": "1710067244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 MARQUETTE ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487064025",
"telephone_number": "989-684-8905",
"fax_number": "989-684-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 MARQUETTE ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487064025",
"telephone_number": "989-684-8905",
"fax_number": "989-684-7877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2017-01-12",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-684-8905",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2500437",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anderson Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.