Anderson Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006400B Issued in IN

Legal business name

ANDERSON HEALTHCARE INC

Practice address

350 S Van Buren St Ste F
Shipshewana, IN 46565-9197

Phone

(260) 768-4433

Fax

(260) 768-4033

NPI assigned

Oct 14, 2014

Organization subpart

Yes

Parent organization

ANDERSON HEALTHCARE INCAs reported in NPPES

Name

Dr. David L Anderson, PHARM.D.NPI 1295205102

Title

Ceo

Phone

(260) 768-4433

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David L Anderson, PHARMD.

  • Pharmacist
  • Shipshewana, IN
  • NPI 1295205102
  NPD (past) Authorized official

Part of

Anderson Healthcare Inc

Locations

• Shipshewana Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2014.

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1891199295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S VAN BUREN ST STE F",
            "city": "SHIPSHEWANA",
            "state": "IN",
            "postal_code": "465659197",
            "telephone_number": "260-768-4433",
            "fax_number": "260-768-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S VAN BUREN ST STE F",
            "city": "SHIPSHEWANA",
            "state": "IN",
            "postal_code": "465659197",
            "telephone_number": "260-768-4433",
            "fax_number": "260-768-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDERSON HEALTHCARE INC",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-768-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006400B",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IN",
            "license": "60006400B",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60006400B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PHARMACY LICENSE",
            "identifier": "60006400B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shipshewana Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David L Anderson, PHARMD.
• Janelle Warner Ashby, PSY.D.
• Chiropractic Physicians P.C.
• Christian Psychological Services, P.C.
• Community Health Clinic Inc

• All providers in Shipshewana, IN
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.