BRANDY DONALDSON (NPI# 1649709585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649709585 |
Entity Type | Individual |
Full Name | BRANDY DONALDSON |
Credential | PHARM. D. |
Practice Address |
112 N Main St Enterprise AL 36330-2537 |
Mailing Address |
413 Oakwood Dr Opp AL 36467-9765 |
Practice Telephone | 3343472506 |
Mailing Telephone | 3347013765 |
Enumeration Date | 2017-06-05 |
Last Update Date | 2017-06-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS40452 | FL | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14795 | AL | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FL STATE BOARD OF PHARMACY | PS40452 | 01 |
AL | AL BOARD OF PHARMACY | 14795 | 01 |
Street Address |
112 N MAIN ST |
City | ENTERPRISE |
State | AL |
Zip Code | 36330-2537 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578991584 | Bryars-warren Drug Co, LLC | Pharmacy | 112 N Main St, Enterprise, AL 36330-2537 | 2013-10-30 |
1760765960 | Jeremy Willette | Pharmacist | 112 N Main St, Enterprise, AL 36330-2537 | 2011-09-23 |
1891965315 | Bryars-warren Drug Co | Pharmacy | 112 N Main St, Enterprise, AL 36330-2537 | 2008-03-12 |
1720126741 | George Robert Cannon Jr. | Pharmacist | 112 N Main St, Enterprise, AL 36330-2537 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
Find all providers in zip 36330 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619592243 | Julie Wilbeck Stephens | Pharmacist | 704 Harding Way Se, Huntsville, AL 35802-1962 | 2020-06-09 |
1780221531 | Lauren Hickman Curnutt | Pharmacist | 413 Rosewood St, Irondale, AL 35210-3118 | 2019-11-27 |
1497258784 | Cullman County Treatment Center | Pharmacist | 1912 Commerce Ave, Cullman, AL 35055-6150 | 2018-03-13 |
1407373020 | Lillian Mcbride Osborn | Pharmacist | 806 Lee Road 8, Auburn, AL 36832-8358 | 2017-08-24 |
1780118091 | Shane Humphries | Pharmacist | 166 County Road 3915, Arley, AL 35541-2174 | 2017-04-13 |
1205372232 | Affinity Mtm | Pharmacist | 501 Riverchase Pkwy E, Suite 201, Hoover, AL 35244-1808 | 2017-01-14 |
1336596758 | Laura Rebekah Findley | Pharmacist | 7700 Hargrove Rd E, Cottondale, AL 35453-3810 | 2016-05-16 |
1356734347 | Margaret Ann Henderson | Pharmacist | 10 Crenshaw St, Mobile, AL 36606-1909 | 2015-03-15 |
1235548819 | Derrick Bradley | Pharmacist | 505 Bel Air Blvd, Apt: #121, Mobile, AL 36606-3586 | 2014-08-07 |
1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
Find all providers with the same taxonomy |
City | ENTERPRISE |
Zip Code | 36330 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.