Active NPI
Basil Durrell Andersen
- Pharmacist
- Spokane, WA
National Provider Identifier
1952694119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00008071
- Practice address
- 4514 S Regal St
Spokane, WA 99223-7937 - Phone
- (509) 448-9063
- Fax
- (509) 448-9661
- NPI assigned
- May 20, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00008071 | WA | Primary |
| Pharmacist | 183500000X | P3561 | ID | |
| Pharmacist | 183500000X | 5951006-1701 | UT |
Addresses
Primary practice location
4514 S Regal St
Spokane, WA 99223-7937
Mailing address
4514 S Regal St
Spokane, WA 99223-7937
Phone (509) 448-9063
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P3561 | ID | MD | Pharmacist |
| 5951006-1701 | UT | MD | Pharmacist |
| PH00008071 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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.
-
dba Rite Aid Pharmacy 05313
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1730100652
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1952694119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4514 S REGAL ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992237937",
"telephone_number": "509-448-9063",
"fax_number": "509-448-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4514 S REGAL ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992237937",
"telephone_number": "509-448-9063",
"fax_number": "509-448-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "BASIL",
"middle_name": "DURRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00008071",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P3561",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "5951006-1701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.