Active NPI
Bryan John Anderson, PHARM D.
- Pharmacist
- Cedar Rapids, IA
National Provider Identifier
1821356007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21601
- Practice address
- 1030 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1220 - Phone
- (319) 393-4348
- NPI assigned
- Apr 25, 2012
- Last updated
- Apr 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21601 | IA | Primary |
Addresses
Primary practice location
1030 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1220
Mailing address
7906 Foxfield Dr NE
Cedar Rapids, IA 52402-6703
Phone (319) 389-6144
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 |
|---|---|---|---|
| 21601 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1821356007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7906 FOXFIELD DR NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524026703",
"telephone_number": "319-389-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 BLAIRS FERRY RD NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524021220",
"telephone_number": "319-393-4348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BRYAN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.