Active NPI
Beverly Faye Anderson, PHARMD
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1982331088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 202103266
- Practice address
- 115 N Euclid Ave Ste a
Saint Louis, MO 63108-1503 - Phone
- (314) 454-6676
- NPI assigned
- Aug 8, 2022
- Last updated
- Aug 8, 2022
- Sex
- Female
- 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 | 202103266 | MO | Primary |
Addresses
Primary practice location
115 N Euclid Ave Ste a
Saint Louis, MO 63108-1503
Mailing address
3708 Juniata St
Saint Louis, MO 63116-4812
Phone (504) 655-5058
Other practice location 1
3527 Chouteau Ave
Saint Louis, MO 63103-2915
Phone (314) 771-2900
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202103266 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
115 N Euclid Ave
Ste A
Saint Louis, MO 63108
Phone (314) 454-6676
Organizations & group practices 3
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": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1982331088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 JUNIATA ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631164812",
"telephone_number": "504-655-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N EUCLID AVE STE A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081503",
"telephone_number": "314-454-6676"
}
],
"practiceLocations": [
{
"address_1": "3527 Chouteau Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631032915",
"country_code": "US",
"telephone_number": "314-771-2900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "BEVERLY",
"middle_name": "FAYE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "202103266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.