Christopher Leroy Anderson, PHARMD
Individual provider Active NPI Pharmacist · Kayenta, AZ
NPI 1992043798 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1992043798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6141433-1701 (UT)
- Practice address
- Highway 163
Kayenta Service Center
Kayenta, AZ 86033 - Phone
- (928) 697-4167
- Fax
- (928) 697-4168
- NPI assigned
- Jan 29, 2013
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6141433-1701 | UT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6141433-1701 | UT | Yes |
Addresses
Primary practice location
Highway 163
Kayenta Service Center
Kayenta, AZ 86033
Mailing address
PO Box 268
Kayenta, AZ 86033-0268
Phone (928) 697-4167
Other providers in Kayenta, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. 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.