Active NPI
Anish Ann George
- Pharmacist
- O'Fallon, MO
National Provider Identifier
1841574639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2005001461
- Practice address
- 1490 Mexico Loop Rd E
O Fallon, MO 63366-6015 - Phone
- (636) 978-1602
- NPI assigned
- Sep 28, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2005001461 | MO | Primary |
Addresses
Primary practice location
1490 Mexico Loop Rd E
O Fallon, MO 63366-6015
Mailing address
1490 Mexico Loop Rd E
O Fallon, MO 63366-6015
Phone (636) 978-1602
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005001461 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1841574639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 MEXICO LOOP RD E",
"city": "O FALLON",
"state": "MO",
"postal_code": "633666015",
"telephone_number": "636-978-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 MEXICO LOOP RD E",
"city": "O FALLON",
"state": "MO",
"postal_code": "633666015",
"telephone_number": "636-978-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "ANISH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2005001461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.