Individual provider Active NPI

Brian Coudray Sole, PHARM.D.

  • Pharmacist
  • Concord, CA
National Provider Identifier
1043560709
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH67461 Issued in CA
Practice address
3179 Hacienda Dr
Concord, CA 94519-2239
Phone
(943) 437-4743
NPI assigned
Sep 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH67461 CA Primary

Addresses

Primary practice location

3179 Hacienda Dr
Concord, CA 94519-2239

Mailing address

3179 Hacienda Dr
Concord, CA 94519-2239
Phone (943) 437-4743

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
RPH67461CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1043560709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 HACIENDA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192239",
            "telephone_number": "943-437-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 HACIENDA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192239",
            "telephone_number": "943-437-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLE",
        "first_name": "BRIAN",
        "middle_name": "COUDRAY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH67461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.