Brent Anderson

Primary specialty

PharmacistTaxonomy code 183500000X

License

80231 Issued in CA

Practice address

2150 Roosevelt Ave
Redwood City, CA 94061-1304

Phone

(650) 369-2071

NPI assigned

Aug 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Redwood City, CA
  • NPI 1467468751
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Saint Paul, MN
  • NPI 1497760714
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1811396286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CARMELITA DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 ROOSEVELT AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611304",
            "telephone_number": "650-369-2071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053421",
            "country_code": "US",
            "telephone_number": "651-227-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121899",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80231",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "17626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Angela Anchondo
• Anchor O and P by the Bay Inc
• Anchor Orthotics and Prosthetics, Inc.
• Allison Anderson, PNP
• Amanda L. Anderson, R.N.C.
• Stacey Anderson, LMFT
• Terilyn Anderson
• Chelsey Andrada-Rickard, PT, DPT
• Andrew T Liu M D and Dorothy a Shoup M D a Professional Corporation
• Andrew W. Zee, DDS, Inc.

• Pharmacist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.