Individual provider Active NPI

Rebecca Dell Brown, PHARMD

  • Pharmacist
  • Glen Allen, VA
National Provider Identifier
1053698001
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202207542 Issued in VA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
0202207542VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Pharmacy Inc CurrentSince Sep 5, 2023 Accepting new patients
Amelia Pharmacy Inc CurrentSince Sep 5, 2023 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.

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.

Verify at the official NPI Registry.