Breanna North I, PHARMD
Individual provider Active NPI Pharmacist · Columbia, AL
NPI 1073199782 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1073199782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14961 (AL)
- Practice address
- 111 E Church St
Columbia, AL 36319 - Phone
- (334) 696-4611
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14961 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dothan Pharmacy LLC | Current | Accepting new patients | |
| Beasley Pharmacy Inc | Current |
Accepting new patients |
Locations
111 E Church St
Columbia, AL 36319
Phone (334) 696-4611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14961 | AL | Yes |
Addresses
Primary practice location
111 E Church St
Columbia, AL 36319
Mailing address
PO Box 614
Columbia, AL 36319-0614
Phone (334) 696-4611
Other providers in Columbia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. 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.