Individual provider Active NPI

Danielle Brown, PHARMD

  • Pharmacist
  • Roanoke, VA
National Provider Identifier
1003411901
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202215120 Issued in VA
Practice address
1916 Orange Ave NW
Roanoke, VA 24017-4040
Phone
(540) 981-1366
Fax
(540) 982-8574
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202215120 VA Primary

Addresses

Primary practice location

1916 Orange Ave NW
Roanoke, VA 24017-4040

Mailing address

1916 Orange Ave NW
Roanoke, VA 24017-4040
Phone (540) 981-1366

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Pharmacist
SOAP URL Pharmacist

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202215120VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia CVS Pharmacy, L.L.C. PastSince Dec 6, 2020 Accepting new patients
Virginia CVS Pharmacy LLC PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1003411901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 ORANGE AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174040",
            "telephone_number": "540-981-1366",
            "fax_number": "540-982-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 ORANGE AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174040",
            "telephone_number": "540-981-1366",
            "fax_number": "540-982-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DANIELLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202215120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Pharmacist",
            "affiliation": "N",
            "address_1": "1916 Orange Ave NW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240174040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Pharmacist",
            "affiliation": "N",
            "address_1": "1916 Orange Ave NW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240174040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.