Jo Ellen Anderson

Individual provider Active NPI Pharmacy Technician · Carmichael, CA

NPI 1720141955 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720141955
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
7106 (CA)
Practice address
7223 Fair Oaks Blvd
Carmichael, CA 95608
Phone
(916) 483-9961
Fax
(916) 483-9998
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7106CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Price Less Drug Store Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 7106 CA Yes

Addresses

Primary practice location

7223 Fair Oaks Blvd
Carmichael, CA 95608

Mailing address

205 Bittercreek Drive
Folsom, CA 95630
Phone (916) 983-2899

Other names

  • Jo Ellen Monahan Other name

Other providers in Carmichael, CA

All providers in Carmichael, CA · Pharmacy Technician in California

Sources for this page

Verify at the official NPI Registry.