Katherine Ann Anderson
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Dallas, GA
NPI 1982203113 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1982203113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 016191 (GA)
- Practice address
- 457 Nathan Dean Blvd
Dallas, GA 30132-4911 - Phone
- (770) 443-8776
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016191 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Current |
Accepting new patients | |
| Kroger Co | Past |
Accepting new patients |
Locations
457 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 016191 | GA | Yes |
Addresses
Primary practice location
457 Nathan Dean Blvd
Dallas, GA 30132-4911
Mailing address
457 Nathan Dean Blvd
Dallas, GA 30132-4911
Phone (770) 443-8776
Other providers in Dallas, GA
- Amazing Grace Hospice Care, LLC
- Amedisys Georgia LLC
- American Medical Equipment Inc
- Wendy Sue Amundson
- Anderson Specific Chiropractic
- Michael Francis Anderson
- Miranda Anderson
- Patrick J Anderson
- Theresa R Anderson
- Anew Counseling and Wellness Center, Inc.
All providers in Dallas, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.