Active NPI
Brittnie Ayanna Nicole Anderson, PHARMD
- Ambulatory Care Pharmacist
- Dallas, TX
National Provider Identifier
1770119299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 67389
- Practice address
- 4001 Worth St
Dallas, TX 75246-1608 - Phone
- (972) 817-7104
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 67389 | TX | Primary |
Addresses
Primary practice location
4001 Worth St
Dallas, TX 75246-1608
Mailing address
2401 S 31St St # Msag303H
Temple, TX 76508-0001
Other practice location 1
2401 S 31st St # Msag303H
Temple, TX 76508-0001
Phone (254) 724-2524
Other practice location 2
801 E Plano Pkwy Ste 160
Plano, TX 75074-6797
Phone (469) 800-6299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67389 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1770119299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S 31ST ST # MSAG303H",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 WORTH ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461608",
"telephone_number": "972-817-7104"
}
],
"practiceLocations": [
{
"address_1": "2401 S 31st St # Msag303H",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765080001",
"country_code": "US",
"telephone_number": "254-724-2524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 E Plano Pkwy Ste 160",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750746797",
"country_code": "US",
"telephone_number": "469-800-6299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "BRITTNIE",
"middle_name": "AYANNA NICOLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "67389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.