Active NPI
Jared Dean Anderson
- Pharmacist
- Grand Island, NE
National Provider Identifier
1891318796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1
- Practice address
- 3501 S Locust St
Grand Island, NE 68801-8853 - Phone
- (308) 381-5859
- NPI assigned
- May 26, 2020
- Last updated
- Apr 22, 2026
- Sex
- Male
- 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 | 1 | NE | Primary |
Addresses
Primary practice location
3501 S Locust St
Grand Island, NE 68801-8853
Mailing address
1109 W 1St St
Grand Island, NE 68801-5813
Phone (402) 525-9817
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdanderson@neb.rr.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska CVS Pharmacy LLC | Past | Accepting new patients | |
| Nebraska CVS Pharmacy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1891318796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 W 1ST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688015813",
"telephone_number": "402-525-9817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S LOCUST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688018853",
"telephone_number": "308-381-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JARED",
"middle_name": "DEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-26",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdanderson@neb.rr.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1710 W 2nd St",
"city": "Grand Island",
"state": "NE",
"country_code": "US",
"postal_code": "688035409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.