Individual provider Active NPI

Colette Brown, PHARMD

  • Pharmacist
  • Scottsdale, AZ
National Provider Identifier
1104111822
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S018151 Issued in AZ
Practice address
15444 N Frank Lloyd Wright Blvd
Target Pharmacy T-0936
Scottsdale, AZ 85260-2845
Phone
(480) 860-0219
Fax
(480) 860-0219
NPI assigned
Jun 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S018151 AZ Primary

Addresses

Primary practice location

15444 N Frank Lloyd Wright Blvd
Target Pharmacy T-0936
Scottsdale, AZ 85260-2845

Mailing address

15444 N Frank Lloyd Wright Blvd
Target Pharmacy T-0936
Scottsdale, AZ 85260-2845
Phone (480) 860-0219

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
S018151AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1104111822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15444 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "TARGET PHARMACY T-0936",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602845",
            "telephone_number": "480-860-0219",
            "fax_number": "480-860-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15444 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "TARGET PHARMACY T-0936",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602845",
            "telephone_number": "480-860-0219",
            "fax_number": "480-860-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "COLETTE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.