1. Home
  2. Directory
  3. Washington
  4. Renton
  5. Pharmacist
  6. NPI Profile

MR. ANDERSON S JOLLY JR. RPH
NPI 1245353234
Pharmacist in Renton, WA

Active since April 06, 2007
12923 SE 95TH WAY, RENTON, WA 98056(253) 952-2803(253) 952-0387 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Anderson S Jolly Jr. Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDERSON S JOLLY JR. RPH (NPI 1245353234) is an individual pharmacist in Renton, Washington, licensed in Washington (PH00019615) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1245353234
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. ANDERSON S JOLLY JR.Credential: RPH
Location Address12923 SE 95TH WAYRenton, WA 98056-2435
Mailing Address12923 Se 95th WayRenton, WA 98056-2435 · (253) 952-2803 · Fax (253) 952-0387
Phone(253) 952-2803
Fax(253) 952-0387
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245353234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WA · PH00019615
Definition
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.
12923 SE 95TH WAY, Renton, WA 98056
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anderson Jolly's NPI number?

The NPI number for Anderson Jolly is 1245353234. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Anderson Jolly located?

Anderson Jolly practices at 12923 SE 95th Way, Renton, WA 98056. The listed phone number is (253) 952-2803.

What is Anderson Jolly's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Anderson Jolly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.