Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912375825 Individual Practitioner Male Practitioner

Andrew Vanderwall

Pharmacist • Independence, OR

Professional Overview & Biography Verified Profile Summary

Andrew Vanderwall is a registered healthcare professional specializing in Pharmacist in Independence, OR. Practice services are available at 1357 MONMOUTH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1357 Monmouth St

Independence, OR 973511126

Telephone 5038382195
Fax 5038383129
Associated Practice Facility / Clinic
🏢 Independence Pharmacy, Inc Facility NPI 1336108711

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Independence, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Independence, OR (3654 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR RPH-0014885

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.

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NUCC Taxonomy Code: 1835P0018X

State License OR RPH-0014885

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oregon Rph License
RPH-0014885 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1457959959

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2016

Registered at 1357 MONMOUTH ST, INDEPENDENCE, OR 973511126 (Tel: 5038382195)

📍
Updated Business Mailing Address January 05, 2016

Registered at 916 W EVERGREEN BLVD, VANCOUVER, WA 986603035 (Tel: 3602132236)

👤
Provider Name / Credentials Updated January 05, 2016

Recorded as ANDREW VANDERWALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2016

Pharmacist (License #RPH-0014885 in OR)

🟢
Initial NPI Registration & Enumeration September 09, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912375825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2015
Last Update: January 05, 2016
Sole Proprietor: No

Mailing Address

916 W Evergreen Blvd

Vancouver, WA 986603035

Phone: 3602132236

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.