Deborah Cooper Brumley, RPH
Individual provider Active NPI Pharmacist · Malvern, AR
NPI 1053604355 · NPPES record last updated Nov 25, 2013
Key facts
- NPI
- 1053604355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 09946 (AR)
- Practice address
- 1001 Schneider Dr
Malvern, AR 72104-4811 - Phone
- (501) 332-7356
- NPI assigned
- May 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09946 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 09946 | AR | Yes |
Addresses
Primary practice location
1001 Schneider Dr
Malvern, AR 72104-4811
Mailing address
1001 Schneider Dr
Malvern, AR 72104-4811
Phone (501) 332-7356
Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.