MR. JEFFREY ALLAN ANDERSON (NPI# 1326066788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326066788 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ALLAN ANDERSON |
| Credential | DPH |
| Practice Address |
725 Tennessee Ave Etowah TN 37331 |
| Mailing Address |
Po Box 368 Anderson Drugs & Home Care Center Etowah TN 37331 |
| Practice Telephone | 4232637824 |
| Practice Fax Number | 4232635714 |
| Mailing Telephone | 4232637824 |
| Mailing Fax Number | 4232635714 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6691 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1454338 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1295238830 | Jeffrey Todd Anderson | Occupational Therapist | 100 Woodbrook Dr, Charlottesville, VA 22901-1147 | 2018-03-09 |
| 1902263700 | Jeffrey Anderson | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-01-25 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1801294558 | Jeffrey Paul Anderson | Registered Nurse | 1992 S Gregg Rd, Akron, OH 44319-1306 | 2014-12-11 |
| 1013336890 | Jeffrey Anderson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 | 2014-04-09 |
| 1700223708 | Jeffrey Davis Anderson | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2013-05-30 |
| 1659608578 | Jeffrey G. Anderson | Spec/Tech, Pathology | Psc 461, Medical Unit, Fpo, AP 96521-0050 | 2009-11-13 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Street Address |
725 TENNESSEE AVE |
| City | ETOWAH |
| State | TN |
| Zip Code | 37331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588670319 | Jeffrey Allan Anderson | Durable Medical Equipment & Medical Supplies | 725 Tennessee Ave, Etowah, TN 37331-1305 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081277 | K Va T Food Stores, Inc | Durable Medical Equipment & Medical Supplies | 841 Us 411 North, Etowah, TN 37331 | 2015-08-24 |
| 1891979969 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 410 Grady Road, Etowah, TN 37331 | 2007-12-24 |
| 1992835037 | Jarrett Swafford | Pharmacist | 733 Lawrence St, Etowah, TN 37331 | 2007-03-07 |
| 1982750402 | Yung Gil Lee | General Practice | 315 Grady Rd, Etowah, TN 37331 | 2007-01-26 |
| 1770636227 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 733 Lawrence Street, Etowah, TN 37331 | 2007-01-19 |
| 1356499172 | Tennessee Cancer Specialists, Pllc | Internal Medicine | Highway 411 North, Etowah, TN 37331 | 2007-01-08 |
| 1831265941 | Charles David Brown | Dentist | 920 Highway 411 North, Etowah, TN 37331 | 2006-11-28 |
| 1316920135 | Air Evac Ems Inc | Ambulance | 100 Robinson St, Etowah, TN 37331 | 2005-11-25 |
| 1134185358 | Nathan Craig Trentham | Internal Medicine | 301 Grady Road, Etowah, TN 37331-0325 | 2006-04-25 |
| 1760448591 | Samuel John Olsen II | Internal Medicine | 301 Grady Rd, Etowah, TN 37331-0325 | 2006-04-21 |
| Find all providers in zip 37331 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710194006 | Garry Stephen Shipp | Pharmacist | 856 Highway 411 N, Etowah, TN 37331-1912 | 2007-05-17 |
| 1992835037 | Jarrett Swafford | Pharmacist | 733 Lawrence St, Etowah, TN 37331 | 2007-03-07 |
| 1841335353 | Victoria Ann Sloan | Pharmacist | 841 Highway 411 N, Etowah, TN 37331-1913 | 2007-02-21 |
| 1790876647 | Douglas London | Pharmacist | 6527 Brevard Rd., Etowah, NC 28729-0351 | 2006-09-27 |
| 1669992806 | Jessie Lovingood | Pharmacist | 733 Lawrence St, Etowah, TN 37331-2712 | 2017-06-20 |
| 1184095036 | Timothy Augustine | Pharmacist | 733 Lawrence St, Etowah, TN 37331-2712 | 2015-10-16 |
| 1952717423 | Jordan Monroe | Pharmacist | 856 Highway 411 N, Etowah, TN 37331-1912 | 2014-07-06 |
| 1629410659 | Laura Lynn Arthur | Pharmacist | 856 Highway 411 N, Etowah, TN 37331-1912 | 2013-07-18 |
| 1700161247 | Gizachew Asefa Seyoum | Pharmacist | 856 Highway 411 N, Etowah, TN 37331-1912 | 2011-10-16 |
| 1538448659 | Celeste R Watts | Pharmacist | 841 Highway 411 N, Etowah, TN 37331-1913 | 2011-08-07 |
| Find all providers in ETOWAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.