SHANE M ANDERSON PHD NPI 1639461635

NPI Information

NPI: 1639461635
Provider Name: SHANE M ANDERSON, PHD
Classification: Pharmacist - 1835P1300X
Entity Type: Individual

Specialization: Psychiatric

Address:
402 S 4TH AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 575-4084
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Shane M Anderson, PHD is a psychiatric pharmacist in Yakima, WA. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. Shane M Anderson, PHD NPI is 1639461635. 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:

402 S 4TH AVE
YAKIMA, WA
ZIP 98902-546
Phone: (509) 575-4084

The enumeration date for this NPI number is 5/9/2011 and was last updated on 7/1/2011.

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	171M00000X	Case Manager/Care Coordinator			WASHINGTON	No
2	1835P1300X	Pharmacist	Psychiatric	PH60215206	WASHINGTON	Yes

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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