JEREMY R ANDERSON (NPI# 1043312176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043312176 |
| Entity Type | Individual |
| Full Name | JEREMY R ANDERSON |
| Credential | PHARMD |
| Practice Address |
3041 Stonehedge Dr Ne Mayo Clinic Family Clinic Northeast Rochester MN 55906-5426 |
| Practice Telephone | 4026700593 |
| Mailing Telephone | 4026700593 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
12513 | NE | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
120738 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922622968 | Jeremy Ken Anderson | Dentist | 9 Triangle Park Dr Ste 3, Concord, NH 03301-5790 | 2020-06-05 |
| 1457732760 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2015-06-11 |
| 1730346362 | Jeremy Michael Anderson | Dentist | 2412 Meridian Rd, Victor, MT 59875 | 2008-05-21 |
| 1558495093 | Jeremy James Anderson | Chiropractor | 211 Euclid St, Grandview, WA 98930-1160 | 2007-03-15 |
| 1942262621 | Jeremy Patrick Anderson | Optometrist | 227 E Blackstock Rd, Suite 200, Spartanburg, SC 29301-2632 | 2006-04-06 |
| 1649259680 | Jeremy Paul Anderson | Pharmacist | 221 4th Ave Sw, Rochester, MN 55905-0014 | 2006-01-10 |
| 1063405256 | Jeremy Wade Anderson | Optometrist | 1642 Mcarthur St, Manchester, TN 37355-2522 | 2005-08-24 |
| 1144714296 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 500 Foothill Dr, Slc, UT 84148-0001 | 2018-06-20 |
| 1982196606 | Jeremy Anderson | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2018-05-30 |
| 1427442342 | Jeremy Anderson | Physical Therapist | 1010 W Washington Center Rd, Fort Wayne, IN 46825-4155 | 2015-03-28 |
| Street Address |
3041 STONEHEDGE DR NE MAYO CLINIC FAMILY CLINIC NORTHEAST |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55906-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467622092 | Mayo Clinic | Durable Medical Equipment & Medical Supplies | 3041 Stonehedge Dr Ne, Rochester, MN 55906-5426 | 2008-03-11 |
| 1518061571 | Mayo Foundation for Medical Education & Research | Pharmacy | 3041 Stonehedge Dr Ne, Rochester, MN 55906-5426 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472440 | Carole Ellen Jenson | Nurse Practitioner | Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 | 2018-10-11 |
| 1760853980 | Sebandy Home Care Services, LLC | Health Maintenance Organization | 2548 Lisa Ln Ne, Rochester, MN 55906 | 2015-10-14 |
| 1538550611 | Rachel Eldersveld | Nurse Practitioner | 716 12th Ave Ne, Rochester, MN 55906 | 2015-02-11 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1396177457 | Marjorie Evelyn Murray | Custodial Care Facility | 4501-22nd Ave N.e., Rochester, MN 55906 | 2013-07-31 |
| 1447532411 | Peter M Holm | Dentist | 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 | 2011-09-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1235451816 | Connie Krueger | Dental Hygienist | 120 North Broadway, Ne, Suite B, Rochester, MN 55906 | 2010-02-23 |
| 1700115508 | Smn Home Care, LLC | Home Health | 1700 N. Broadway, Suite 114, Rochester, MN 55906 | 2009-12-08 |
| 1528395068 | Ryley D Layden | Chiropractor | 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 | 2009-11-04 |
| Find all providers in zip 55906 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770034100 | Oliver Fischer | Pharmacist | 630 E Snell Rd, Rochester, MI 48306-2141 | 2016-10-20 |
| 1104232123 | Alexandra Danforth | Pharmacist | 259 Monroe Ave Ste 100, Rochester, NY 14607-3632 | 2014-07-10 |
| 1982989554 | Ole Olson | Pharmacist | 3444 Limerick Ln Ne, Rochester, MN 55906-8038 | 2011-10-14 |
| 1457958670 | Andrew Choma | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-01 |
| 1003383647 | Razan El Melik | Pharmacist | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-11-01 |
| 1619483831 | Emily Rae Lyon | Pharmacist | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-12-26 |
| 1104330828 | Aleksandr Fesyuk | Pharmacist | 430 Spencerport Rd, Rochester, NY 14606-5219 | 2017-11-17 |
| 1114463510 | Kobi Nathan | Pharmacist | 3690 East Ave, Rochester, NY 14618-3537 | 2017-01-10 |
| 1770992208 | Tae Smith | Pharmacist | 601 Elmwood Ave, Box 617, Rochester, NY 14642-0001 | 2014-08-08 |
| 1205240181 | Shawn Fellows | Pharmacist | 322 Lake Ave, Rochester, NY 14608-1162 | 2014-06-18 |
| Find all providers in ROCHESTER | ||||
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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.