Active NPI
Brant Herman, RPH
- Pharmacist
- Nome, AK
National Provider Identifier
1033489125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1399
- Practice address
- 306 W 5TH Ave
Nome, AK 99762 - Phone
- (907) 443-3314
- Fax
- (907) 443-2847
- NPI assigned
- Jan 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 1399 | AK | Primary |
Addresses
Primary practice location
306 W 5TH Ave
Nome, AK 99762
Mailing address
609 Steadman St B
Nome, AK 99762
Phone (907) 443-3314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH90000 | Medicaid | AK |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1399 | AK | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1033489125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 STEADMAN ST B",
"city": "NOME",
"state": "AK",
"postal_code": "99762",
"telephone_number": "907-443-3314",
"fax_number": "907-443-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W 5TH AVE",
"city": "NOME",
"state": "AK",
"postal_code": "99762",
"telephone_number": "907-443-3314",
"fax_number": "907-443-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "BRANT",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PH90000",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nome, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.