Mark Alan Anderson, RPH
Individual provider Active NPI Pharmacist · Loveland, CO
NPI 1982905261 · NPPES record last updated Nov 3, 2010
Key facts
- NPI
- 1982905261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15192 (CO)
- Practice address
- 860 N Cleveland Ave
Loveland, CO 80537-4717 - Phone
- (970) 663-4092
- Fax
- (970) 613-9217
- NPI assigned
- Nov 3, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15192 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15192 | CO | Yes |
Addresses
Primary practice location
860 N Cleveland Ave
Loveland, CO 80537-4717
Mailing address
860 N Cleveland Ave
Loveland, CO 80537-4717
Phone (970) 663-4092
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2010. 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.