Caleb Daniel Anders, PST.023506

Primary specialty

PharmacistTaxonomy code 183500000X

License

PST.023506 Issued in LA

Practice address

510 E Stoner Ave
Shreveport, LA 71101-4243

Phone

(800) 863-7441

Fax

(318) 990-5750

NPI assigned

Oct 6, 2020

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Male

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

• Dr. Caleb Daniel Anders Professional 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores East , LP

  dba Walmart Pharmacy 10-3746

  • Pharmacy
  • Shreveport, LA
  • NPI 1437521879
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1871190413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 COATES BLUFF DR APT 721",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042820",
            "telephone_number": "318-557-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E STONER AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014243",
            "telephone_number": "800-863-7441",
            "fax_number": "318-990-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "CALEB",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PST.023506",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.023506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALEB",
            "last_name": "ANDERS",
            "middle_name": "DANIEL",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Prathima Anandi, MD
• Ananias Incorporated
• Anil Ananthaneni
• Crystal Jasmin Anchondo, APRN, FNP-C
• Caitlyn Anders, LMSW
• Mary Susan Anders, LPN
• Adrian Dewayne Anderson
• Cassandra D'Wana Anderson
• Erica Anderson, M.A.
• Erica Wiggins Anderson

• Pharmacist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.