MR. ANTONIO MARCUS ANDERSON (NPI# 1174787949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174787949 |
| Entity Type | Individual |
| Full Name | MR. ANTONIO MARCUS ANDERSON |
| Practice Address |
5514 24th Ave Ne Tacoma WA 98422 |
| Mailing Address |
5514 24th Ave Ne Tacoma WA 98422-1565 |
| Practice Telephone | 2539526335 |
| Mailing Telephone | 2539526335 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00014860 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215370 | Antonio Anderson | Adult Companion | 2401 Bryan Pl Se, Washington, DC 20020-4433 | 2019-09-24 |
| 1649563156 | Antonio Cherond Anderson | Counselor | 604 Pearl St, Monterey, CA 93940-3070 | 2011-05-17 |
| Street Address |
5514 24TH AVE NE |
| City | TACOMA |
| State | WA |
| Zip Code | 98422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650700 | Kristen Michelle O'leary | Student in an Organized Health Care Education/Training Program | 6720 Eastside Drive Ne, Suite 2, Tacoma, WA 98422 | 2017-03-15 |
| 1386989853 | Lori Shelmadine | Occupational Therapist | 5421 21st Ave Ct Ne, Tacoma, WA 98422 | 2012-12-10 |
| 1407956659 | Scott Barry Finlayson | Massage Therapist | 6720 Eastside Dr Ne, Suite 2, Tacoma, WA 98422 | 2006-09-25 |
| 1669574703 | Leonard Ernest Loflin | Dentist | 4811 Wa Tau Ga Ne, Tacoma, WA 98422 | 2006-09-01 |
| 1114910775 | Daisy Sarama Zachariah | Legal Medicine | 6105 Panorama Dr Ne, Tacoma, WA 98422 | 2005-08-29 |
| 1144312729 | Diana King | Family Medicine | 4215 49th Ave Ne, Tacoma, WA 98422 | 2006-09-29 |
| 1528254547 | Janet E Massey | Physical Therapist | 1422 Beach Dr Ne, Suite 3, Tacoma, WA 98422-1005 | 2007-09-24 |
| 1003240177 | Michael Connolly | Behavioral Analyst | 1826 Markham Ave Ne # B, Tacoma, WA 98422-1015 | 2013-08-26 |
| 1649441031 | The Nw Massage Center, LLC | Massage Therapist | 6716 E Side Dr Ne, Tacoma, WA 98422-1147 | 2008-03-13 |
| 1396046140 | Emily Emett Payne | Specialist | 6716 Eastside Dr Ne, #6, Tacoma, WA 98422-1147 | 2010-11-10 |
| Find all providers in zip 98422 | ||||
| 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 |
|---|---|---|---|---|
| 1275008070 | Kristi Anne Escalante | Pharmacist | 2368 Yakima Ave Unit 714, Tacoma, WA 98405-3966 | 2018-10-08 |
| 1851890180 | Chae Yun Kim | Pharmacist | 1902 96th St S, Tacoma, WA 98444-2808 | 2018-02-01 |
| 1407367980 | Heather Tilley | Pharmacist | 1717 S J St # Ms 01-79, Tacoma, WA 98405-4933 | 2017-10-23 |
| 1477097756 | Debra M Hines | Pharmacist | 9040a Jackson, Tacoma, WA 98431-0001 | 2016-12-06 |
| 1154879575 | Min Shim | Pharmacist | 3806 E L St, Tacoma, WA 98404-3735 | 2016-09-14 |
| 1689129413 | Amanda Nguyen | Pharmacist | 1901 S Union Ave Ste A252, Tacoma, WA 98405-1713 | 2016-08-22 |
| 1649659301 | Shirley So | Pharmacist | 315 Mlk. Jr Way, Tacoma, WA 98405-9997 | 2015-05-27 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1972995967 | Tuyen Huynh | Pharmacist | 1608 South J St, Tacoma, WA 98405 | 2015-02-27 |
| 1396134060 | Chun Choi | Pharmacist | 13817 12th Ave S, Tacoma, WA 98444-2044 | 2015-01-17 |
| Find all providers in TACOMA | ||||
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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.