Julie Braun, PHARMD
Individual provider Active NPI Pharmacist · Columbia, IL
NPI 1104101641 · NPPES record last updated Jan 20, 2020
Key facts
- NPI
- 1104101641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2007026607 (MO)
- Practice address
- 503 N Metter Ave
Columbia, IL 62236-1625 - Phone
- (314) 368-9129
- NPI assigned
- Oct 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 2007026607 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2007026607 | MO | Yes |
Addresses
Primary practice location
503 N Metter Ave
Columbia, IL 62236-1625
Mailing address
503 N Metter Ave
Columbia, IL 62236-1625
Phone (314) 368-9129
Other providers in Columbia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2020. 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.