BRENT ANDERSON (NPI# 1811396286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811396286 |
| Entity Type | Individual |
| Full Name | BRENT ANDERSON |
| Practice Address |
2150 Roosevelt Ave Redwood City CA 94061-1304 |
| Mailing Address |
135 Carmelita Dr Mountain View CA 94040-3255 |
| Practice Telephone | 6503692071 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 17626 | WI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 80231 | CA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 121899 | MN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 734 Grand Ave, Saint Paul, MN 551053421 | 6512275422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245760552 | Brent Joseph Anderson | Home Health Aide | 2919 Ashland Ave, Cincinnati, OH 45206-1366 | 2017-06-19 |
| 1679681191 | Brent D Anderson | Physical Therapist | 1500 Monza Suite 350, Coral Gables, FL 33146-3005 | 2006-08-25 |
| 1518471382 | Brent Anderson | Psychologist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-11-30 |
| 1952606253 | Brent Eric Anderson | Psychologist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2011-01-18 |
| 1144420472 | Brent Cameron Anderson | Orthopaedic Surgery | 50 N Perry St, Pontiac, MI 48342-2217 | 2007-07-24 |
| 1891820189 | Brent Anderson | Counselor | 5638 Medical Center Dr, Katy, TX 77494-6325 | 2007-02-23 |
| 1255488052 | Brent Anderson | Internal Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2007-01-04 |
| 1588670590 | Brent R Anderson | Psychiatry & Neurology | 15000 Broschart Rd, Rica, Rockville, MD 20850-3392 | 2006-07-31 |
| Street Address |
2150 ROOSEVELT AVE |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94061-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477873206 | Jessica Nguyen | Pharmacist | 2150 Roosevelt Ave, Redwood City, CA 94061-1304 | 2010-06-03 |
| 1699066811 | Misrak Assefa | Pharmacist | 2150 Roosevelt Ave, Redwood City, CA 94061-1304 | 2011-04-21 |
| 1154639102 | Sally T Oyenuga | Pharmacist | 2150 Roosevelt Ave, Redwood City, CA 94061-1304 | 2010-09-23 |
| 1649583725 | Kavya Yajurvedi | Pharmacist | 2150 Roosevelt Ave, Redwood City, CA 94061-1304 | 2010-07-19 |
| 1528370715 | Marietta Tan Ong | Pharmacist | 2150 Roosevelt Ave, Redwood City, CA 94061-1304 | 2010-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044933 | Klaire Marie Finlayson | Technician | 628 Iris Street, Redwood City, CA 94061 | 2019-10-11 |
| 1568010148 | Shieh and Luo Dental Group | Dentist | 801 Woodside Rd #3, Suite #3, Redwood City, CA 94061 | 2019-08-28 |
| 1518433432 | Jacqueline Tumalan | Lactation Consultant, Non-RN | 267 Vera Avenue, Redwood City, CA 94061 | 2018-10-18 |
| 1508242314 | Althea Rogers | Registered Nurse | 1695 Hampton Ave, Redwood City, CA 94061 | 2015-08-04 |
| 1073881975 | Rebecca Lynn Cordero | Marriage & Family Therapist | 1690 Woodside Road, Suite 112, Redwood City, CA 94061 | 2011-12-06 |
| 1720362379 | Brendan James Murray | Counselor | 1614 Hudson St #203, Redwood City, CA 94061 | 2011-09-30 |
| 1770800245 | Gerald Cera | Internal Medicine | 1011 Whitehall Ln., Redwood City, CA 94061 | 2010-04-23 |
| 1144407743 | Pamela Burford | Case Manager/Care Coordinator | 2648 International Bld, Oakland, CA 94061 | 2008-01-25 |
| 1235347634 | Charles Robert Carter | Dentist | 1391 Woodside Rd Suite 210, Redwood City, CA 94061 | 2007-05-18 |
| 1255437521 | Doreen Weissman Landes | Marriage & Family Therapist | 61 Renato Court, Suite 20, Redwood City, CA 94061 | 2006-09-15 |
| Find all providers in zip 94061 | ||||
| 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 |
|---|---|---|---|---|
| 1467051334 | Brian Zachary Ngo | Pharmacist | 1561 Hudson St, Redwood City, CA 94061-2927 | 2020-10-21 |
| 1427595305 | Thanh-hien Thi Phan | Pharmacist | 565 Geneva Ave Apt 6, Redwood City, CA 94061-2939 | 2017-01-30 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1629446844 | Edward Mark Moon | Pharmacist | 11 Mandalay Ct, Redwood City, CA 94065-1292 | 2015-09-03 |
| 1992107288 | Tina Ling | Pharmacist | 2710 Middlefied Road, Redwood City, CA 94063 | 2014-09-18 |
| 1316356116 | Pedro Eduardo Medina | Pharmacist | 1175 Marshall St, Redwood City, CA 94063-2028 | 2014-08-05 |
| 1073924924 | Joseph Yuenwui Poon | Pharmacist | 270 Redwood Shr Pkwy, Redwood City, CA 94065-1173 | 2014-05-14 |
| 1497183552 | Lydia Green | Pharmacist | 1156 Ebener St, Redwood City, CA 94061-2203 | 2013-10-28 |
| 1235562497 | Leon Wilde | Pharmacist | 703 Portwalk Pl, Redwood City, CA 94065-1811 | 2013-08-12 |
| 1952743981 | D Tina C Madej | Pharmacist | 554 Osprey Dr, Redwood City, CA 94065-2848 | 2013-07-18 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94061 |
Please comment or provide details below to improve the information on BRENT ANDERSON.
| 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.