DR. BRANDON LEE ANDERSON PHARMD MBA NPI 1003170242

NPI Information

NPI: 1003170242
Provider Name: DR. BRANDON LEE ANDERSON, PHARMD, MBA
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
3051 WILLIAM ST
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 339-0909
Get Directions

DR. Brandon Lee Anderson, PHARMD, MBA is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Cape Girardeau, MO. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Brandon Lee Anderson, PHARMD, MBA NPI is 1003170242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3051 WILLIAM ST
CAPE GIRARDEAU, MO
ZIP 63703-393
Phone: (573) 339-0909
Fax: (573) 339-5940

The enumeration date for this NPI number is 7/3/2012 and was last updated on 11/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183500000X	Pharmacist		2009030884	MISSOURI	No
2	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	2009030884	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1619180130	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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