SHANE M ANDERSON PHD
NPI 1639461635
Pharmacist - Psychiatric in Yakima, WA

Active since May 09, 2011
402 S 4TH AVE, YAKIMA, WA 98902(509) 575-4084 Get Directions Write a Review

NPPES record last updated: July 1, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shane M Anderson Phd NPPES

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

SHANE M ANDERSON PHD (NPI 1639461635) is an individual psychiatric provider in Yakima, Washington, licensed in Washington (PH60215206) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1639461635
Entity TypeIndividualMale
Primary Taxonomy1835P1300X
Provider Legal NameSHANE M ANDERSONCredential: PHD
Location Address402 S 4TH AVEYakima, WA 98902-3546
Mailing AddressPo Box 959Yakima, WA 98907-0959 · (509) 575-4084
Sole ProprietorYes
Enumeration DateMay 9, 2011
Last NPPES UpdateJuly 1, 2011
NPI 1639461635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacist · PsychiatricPharmacy Service Providers
Taxonomy Code1835P1300X
License Licensed in WA · PH60215206
Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
402 S 4TH AVE, Yakima, WA 98902

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Psychiatric)
402 S 4TH AVE
YAKIMA, WA 98902
Psychiatry & Neurology (Psychiatry)
402 S 4TH AVE
YAKIMA, WA 98902
Nurse Practitioner (Family)
402 S 4TH AVE
YAKIMA, WA 98902
Social Worker (Clinical)
402 S 4TH AVE
YAKIMA, WA 98902
Counselor (Mental Health)
402 S 4TH AVE
YAKIMA, WA 98902
Counselor (Mental Health)
402 S 4TH AVE
YAKIMA, WA 98902
Counselor
402 S 4TH AVE
YAKIMA, WA 98902
Registered Nurse
402 S 4TH AVE
YAKIMA, WA 98902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639461635, enumerated as an "individual" on May 09, 2011.

The provider is located at 402 S 4TH AVE YAKIMA, WA 98902 and the phone number is (509) 575-4084.

Pharmacist with taxonomy code 1835P1300X and a focus in Psychiatric.