Active NPI
Brandon Flood
- Pharmacist
- Valdosta, GA
National Provider Identifier
1053967430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031476
- Practice address
- 1741 Gornto Rd
Valdosta, GA 31601-8408 - Phone
- (229) 242-2409
- NPI assigned
- Aug 12, 2019
- 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 | RPH031476 | GA | Primary |
Addresses
Primary practice location
1741 Gornto Rd
Valdosta, GA 31601-8408
Mailing address
1741 Gornto Rd
Valdosta, GA 31601-8408
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031476 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1053967430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 GORNTO RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316018408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 GORNTO RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316018408",
"telephone_number": "229-242-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOOD",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.