Active NPI
Breanna Shanice Mitchell, PHARMD
- Pharmacist
- Greenville, NC
National Provider Identifier
1023664505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29009
- Practice address
- 2105 E Fire Tower Rd
Greenville, NC 27858-8014 - Phone
- (252) 321-6582
- NPI assigned
- Aug 12, 2019
- Last updated
- Aug 12, 2019
- Sex
- Female
- 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 | 29009 | NC | Primary |
Addresses
Primary practice location
2105 E Fire Tower Rd
Greenville, NC 27858-8014
Mailing address
130 Cedarhurst LN
Franklinton, NC 27525-8027
Phone (252) 767-8685
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 |
|---|---|---|---|
| 29009 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1023664505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CEDARHURST LN",
"city": "FRANKLINTON",
"state": "NC",
"postal_code": "275258027",
"telephone_number": "252-767-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E FIRE TOWER RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278588014",
"telephone_number": "252-321-6582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "BREANNA",
"middle_name": "SHANICE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.