Active NPI
Kathryn Elizabeth Anderson, PHARMD
- Pharmacist
- Cottage Grove, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0015599
- Practice address
- 1515 Village Dr
Cottage Grove, OR 97424-9700 - Phone
- (541) 767-5200
- Fax
- (541) 767-5288
- NPI assigned
- Aug 13, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23458 | NC | |
| Pharmacist | 183500000X | S021237 | AZ | |
| Pharmacist | 183500000X | RPH-0015599 | OR | Primary |
Addresses
Primary practice location
1515 Village Dr
Cottage Grove, OR 97424-9700
Mailing address
17500 N 67TH Ave Apt 1081
Glendale, AZ 85308-1084
Phone (503) 341-5793
Other practice location 1
17500 N 67th Ave Apt 1081
Glendale, AZ 85308-1084
Phone (503) 341-5793
Other practice location 2
1200 Hilyard St # 230
Eugene, OR 97401-8122
Phone (458) 205-6011
Other practice location 3
2484 River Rd
Eugene, OR 97404-2042
Phone (541) 222-7650
Other practice location 4
4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 687-6353
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 |
|---|---|---|---|
| S021237 | AZ | MD | Pharmacist |
| 23458 | NC | MD | Pharmacist |
| RPH-0015599 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447207287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1881093037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17500 N 67TH AVE APT 1081",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081084",
"telephone_number": "503-341-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 VILLAGE DR",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974249700",
"telephone_number": "541-767-5200",
"fax_number": "541-767-5288"
}
],
"practiceLocations": [
{
"address_1": "17500 N 67th Ave Apt 1081",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853081084",
"country_code": "US",
"telephone_number": "503-341-5793",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Hilyard St # 230",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974018122",
"country_code": "US",
"telephone_number": "458-205-6011",
"fax_number": "541-302-4733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2484 River Rd",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974042042",
"country_code": "US",
"telephone_number": "541-222-7650",
"fax_number": "541-222-7676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4010 Aerial Way",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974029757",
"country_code": "US",
"telephone_number": "541-687-6353",
"fax_number": "541-242-8413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-13",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23458",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021237",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0015599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.