Anderson Brothers Florin Square Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY20884 Issued in CA

Legal business name

ANDERSON BROTHERS FLORIN SQUARE PHARMACY INC

Doing business as

ANDERSON BROS FLORIN SQUARE PHARMACY

Practice address

2374 Florin Rd
Sacramento, CA 95822-4403

Phone

(916) 428-3794

Fax

(916) 428-0259

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

John AndersonNPI 1720681943

Title

Pharmacist

Phone

(916) 428-3794

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ANDERSON BROS FLORIN SQUARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Anderson Bros Florin Square Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Anderson Brothers Florin Square Pharmacy Inc

  • Long Term Care Pharmacy
  • Sacramento, CA
  • NPI 1174040943
  NPD tax ID

Practitioners 2

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

• John Harold Anderson

  • Pharmacist
  • Sacramento, CA
  • NPI 1720681943
  NPD Authorized official
• Nita Nguyen, RPH

  • Pharmacist
  • Sacramento, CA
  • NPI 1780285502
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1942200142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224403",
            "telephone_number": "916-428-3794",
            "fax_number": "916-428-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224403",
            "telephone_number": "916-428-3794",
            "fax_number": "916-428-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON BROTHERS FLORIN SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "916-428-3794"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY20884",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA208840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDERSON BROS FLORIN SQUARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander James Anders-Cook, DC
• Thomas Anders, M.D.
• Michelle Andersen, PSYD
• Salina Marie Andersen
• Anderson Brothers Florin Square Pharmacy Inc
• Anderson Chiropractic Clinic, Inc
• Abraham Anderson
• Ahjae Anderson
• Aisha Anderson
• Ajiah Anderson

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.