Individual provider Active NPI

Charlotte Brennan Anderson, PHARMD

  • Pharmacist
  • Columbia, SC
National Provider Identifier
1891044905
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13601 Issued in SC
Practice address
1520A Taylor St
Columbia, SC 29201-2919
Phone
(803) 272-4451
Fax
(803) 637-8161
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13601 SC Primary

Addresses

Primary practice location

1520A Taylor St
Columbia, SC 29201-2919

Mailing address

1520A Taylor St
Columbia, SC 29201-2919
Phone (803) 272-4451

Other practice location 1

2571 Forest Drive
Columbia, SC 29204
Phone (803) 254-2376

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

LicenseStateTypeSpecialty
13601SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1891044905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520A TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012919",
            "telephone_number": "803-272-4451",
            "fax_number": "803-637-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520A TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012919",
            "telephone_number": "803-272-4451",
            "fax_number": "803-637-8161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2571 Forest Drive",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29204",
            "country_code": "US",
            "telephone_number": "803-254-2376",
            "fax_number": "803-779-4107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLOTTE",
        "middle_name": "BRENNAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.