Individual provider Active NPI

Braxton Parks Dunn, PHARMD, MBA

  • Pharmacist
  • Fort Wayne, IN
National Provider Identifier
1093699654
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26031382A Issued in IN
Practice address
4242 E Dupont Rd
Fort Wayne, IN 46825-1759
Phone
(260) 279-2520
Fax
(260) 279-2545
NPI assigned
Aug 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26031382A IN Primary

Addresses

Primary practice location

4242 E Dupont Rd
Fort Wayne, IN 46825-1759

Mailing address

4242 E Dupont Rd
Fort Wayne, IN 46825-1759
Phone (260) 279-2520

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
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26031382AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Meijer Stores Limited Partnership CurrentSince Aug 10, 2025 Accepting new patients

Locations

4242 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 279-2520

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1093699654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251759",
            "telephone_number": "260-279-2520",
            "fax_number": "260-279-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251759",
            "telephone_number": "260-279-2520",
            "fax_number": "260-279-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "BRAXTON",
        "middle_name": "PARKS",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26031382A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.