Jordan Anders, PHARMD
Individual provider Active NPI Pharmacist · Laurel Fork, VA
NPI 1821836602 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1821836602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202216240 (VA)
- Practice address
- 14559 Danville Pike
Laurel Fork, VA 24352-3758 - Phone
- (276) 398-2620
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202216240 | VA | MD | Pharmacist |
| 27403 | NC | MD | Dermatology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27403 | NC | |
| Pharmacist | 183500000X | 0202216240 | VA | Yes |
Addresses
Primary practice location
14559 Danville Pike
Laurel Fork, VA 24352-3758
Mailing address
204 Water St
Hillsville, VA 24343-1303
Phone (276) 733-2029
Other providers in Laurel Fork, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.