Active NPIIndividual provider

Jordan Anderson, PHARMD

Pharmacist in Bend, Oregon

NPI Number1063134856
Practice location
61535 S Highway 97, Bend, OR 97702-2154
Fax
541-233-9351
Last updated
September 19, 2022

Jordan Anderson is a Pharmacist based in Bend, OR. Jordan Anderson practices in Bend, OR and has the professional credentials of PHARMD. The NPI Number for Jordan Anderson is 1063134856 and holds a License No. 0019109 (OR). The current practice location address for Jordan Anderson is 61535 S Highway 97, Bend, OR 97702-2154 and can be reached out via phone at 541-385-6658 and via fax at 541-233-9351.

Provider Profile Details

NPI Number
1063134856
Provider Name
Jordan Anderson
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
61535 S Highway 97, Bend, OR 97702-2154
Phone Number
541-385-6658
Fax Number
541-233-9351
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2022
Last Update Date
September 19, 2022
Certification Date
September 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
61535 S Highway 97
Bend, OR 97702-2154
City
Bend
State
Oregon
Zip
97702-2154
Phone Number
541-385-6658
Fax Number
541-233-9351
Bend, OR 97702Get directions →

Provider Business Mailing Address Details

Address
61535 S Highway 97
Bend, OR 97702-2154
City
Bend
State
OR
Zip
97702-2154
Phone Number
541-385-6658
Fax Number
541-233-9351

License Information

License Number
0019109
License State
OR
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jordan Anderson, PHARMD?

The NPI number of Jordan Anderson, PHARMD is 1063134856. It was assigned on September 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Jordan Anderson, PHARMD?

Jordan Anderson, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in OR under license number 0019109.

Where does Jordan Anderson, PHARMD practice?

The practice location is 61535 S Highway 97, Bend, OR 97702-2154. The office can be reached at 541-385-6658 (phone) or 541-233-9351 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063134856 directly on the NPPES registry website.

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