Shane M. Anderson, PHD
NPI 1639461635ActiveIndividual· Pharmacist, Psychiatric· Yakima, WA
Pharmacist, Psychiatric (PHD) in Yakima, Washington, licensed in WA, with an NPI issued in May 2011. Part D covered 58 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1639461635 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | May 9, 2011 |
| Last updated in NPPES | Jul 1, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Psychiatric Primary | 1835P1300X | PH60215206 | WA |
| Case Manager/Care Coordinator | 171M00000X | — | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 58 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $1,862 |
| Generic share | 100% of claims |
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