Jacquelyn Lynette Anderson

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

233892 Issued in TX

Practice address

6000 West Ave
San Antonio, TX 78213-2714

Phone

(210) 341-3875

Fax

(210) 344-1887

NPI assigned

Dec 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacquelyn Lynette Guerrero Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• H-E-B, LP

  dba HEB Pharmacy #389

  • Community/Retail Pharmacy
  • Castle Hills, TX
  • NPI 1316056393
  NPD (past)

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1801665211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 BLANCO RD APT 704",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162112",
            "telephone_number": "979-505-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132714",
            "telephone_number": "210-341-3875",
            "fax_number": "210-344-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JACQUELYN",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "233892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "GUERRERO",
            "middle_name": "LYNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Nicole Anderson, DPT, DSC
• Deborah L Anderson
• Denisha Anderson
• Emily Anderson
• Franklin L Anderson, MD
• Jenna Anderson, MOT, OTR/L
• John R Anderson, M.D.
• Joseph Anderson
• Kelly Anderson, LPC
• Kent Lowell Anderson, M.D., PH.D.

• Pharmacy Technician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.