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Deactivated NPI 1205280195 Deactivated / Inactive NPI Male Practitioner

Paul Anderson , RPH

Pharmacist • Moses Lake, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Paul Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2016
NPI Deactivation Date July 07, 2022
Total Practice Duration ~6 Years of Practice (2016 – 2022)

Professional Overview & Biography Verified Profile Summary

Paul Anderson, RPH was a registered Pharmacist practicing in Moses Lake, WA. Throughout an active medical career spanning 6 years, Paul Anderson provided care at the practice location at 200 E BROADWAY AVE until profile deactivation on 2022-07-07.

Practice Location & Contact Primary Location

Practice Address

200 E Broadway Ave

Moses Lake, WA 988371718

Telephone 5097651217
Fax 5097654410
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1609016799

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Moses Lake, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Moses Lake, WA (7956 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 WA PH 00018387

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Jason Hover

Counselor

NPI 1134510639
NPI 1215363395

Doctor of Pharmacy (Pharm.D.)

NPI 1225312028

Doctor of Pharmacy (Pharm.D.)

NPI 1235565599

Doctor of Pharmacy (Pharm.D.)

NPI 1659617199

Registered Pharmacist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 07, 2022

Record deactivated on July 07, 2022

NPI Profile Active April 18, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 18, 2016

Registered at 200 E BROADWAY AVE, MOSES LAKE, WA 988371718 (Tel: 5097651217)

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Updated Business Mailing Address April 18, 2016

Registered at 200 E BROADWAY AVE, MOSES LAKE, WA 988371718 (Tel: 5097651217)

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Provider Name / Credentials Updated April 18, 2016

Recorded as PAUL ANDERSON, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2016

Pharmacist (License #PH 00018387 in WA)

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Initial NPI Registration & Enumeration April 18, 2016

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: 1205280195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2016
Last Update: April 18, 2016
Deactivation Date: July 07, 2022

Mailing Address

200 E Broadway Ave

Moses Lake, WA 988371718

Phone: 5097651217

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.