Individual provider Active NPI

Deshell Brown, PHARMD.

  • Pharmacist
  • McDonough, GA
National Provider Identifier
1114465069
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH029647 Issued in GA
Practice address
896 Highway 81 E
McDonough, GA 30252-2914
Phone
(770) 914-7748
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH029647 GA Primary

Addresses

Primary practice location

896 Highway 81 E
McDonough, GA 30252-2914

Mailing address

8210 Spence Rd
Fairburn, GA 30213-2957

Other practice location 1

8210 Spence Rd
Fairburn, GA 30213-2957
Phone (404) 207-4708

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rxm.09623@store.walgreens.com

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
RPH029647GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1114465069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 SPENCE RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 HIGHWAY 81 E",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522914",
            "telephone_number": "770-914-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Spence Rd",
            "address_purpose": "LOCATION",
            "city": "Fairburn",
            "state": "GA",
            "postal_code": "302132957",
            "country_code": "US",
            "telephone_number": "404-207-4708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DESHELL",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH029647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.09623@store.walgreens.com",
            "affiliation": "N",
            "address_1": "896 Highway 81 E",
            "city": "McDonough",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302522914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.