Active NPI
Rebecca Dell Brown, PHARMD
- Pharmacist
- Glen Allen, VA
National Provider Identifier
1053698001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207542
- Practice address
- 11290 W Broad St
Glen Allen, VA 23060-5815 - Phone
- (804) 360-8912
- Fax
- (804) 360-8912
- NPI assigned
- Nov 4, 2011
- Last updated
- Aug 24, 2023
- Sex
- Female
- 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 | 0202207542 | VA | Primary |
Addresses
Primary practice location
11290 W Broad St
Glen Allen, VA 23060-5815
Mailing address
15412 Patrick Henry Hwy
Amelia Court House, VA 23002
Phone (804) 561-6885
Other names 1
- Mrs. Rebecca Brown Pennington
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 |
|---|---|---|---|
| 0202207542 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amelia Pharmacy Inc | Current | Accepting new patients | |
| Amelia Pharmacy Inc | Current | Accepting new patients |
Locations
15412 Patrick Henry Hwy
Amelia Ct Hse, VA 23002
Phone (804) 561-6885
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.
-
- Community/Retail Pharmacy
- Amelia Court House, VA
- NPI 1053316166
-
dba Family Pharmacy Amelia Long Term Care
- Long Term Care Pharmacy
- Amelia Court House, VA
- NPI 1528771045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1053698001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15412 PATRICK HENRY HWY",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "23002",
"telephone_number": "804-561-6885",
"fax_number": "804-561-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11290 W BROAD ST",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230605815",
"telephone_number": "804-360-8912",
"fax_number": "804-360-8912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "REBECCA",
"middle_name": "DELL",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "PENNINGTON",
"middle_name": "BROWN",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.