Active NPI
Brandon Frey, PHARMD
- Pharmacist
- Effingham, IL
National Provider Identifier
1023594249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.292797
- Practice address
- 1204 Avenue of Mid America
Effingham, IL 62401-4715 - Phone
- (217) 347-5583
- Fax
- (217) 347-5585
- NPI assigned
- Jul 11, 2018
- Last updated
- Aug 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.292797 | IL | Primary |
Addresses
Primary practice location
1204 Avenue of Mid America
Effingham, IL 62401-4715
Mailing address
1530 W Highway 50
O Fallon, IL 62269-1657
Phone (618) 632-9381
Other practice location 1
55 Rosin Dr
Highland, IL 62249-4895
Phone (618) 973-1110
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.292797 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1023594249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 W HIGHWAY 50",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691657",
"telephone_number": "618-632-9381",
"fax_number": "618-632-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 AVENUE OF MID AMERICA",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624014715",
"telephone_number": "217-347-5583",
"fax_number": "217-347-5585"
}
],
"practiceLocations": [
{
"address_1": "55 Rosin Dr",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "IL",
"postal_code": "622494895",
"country_code": "US",
"telephone_number": "618-973-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREY",
"first_name": "BRANDON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-11",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.292797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.