Active NPI
Stuart Langer Bracken, PHARMD
- Pharmacist
- Beckley, WV
National Provider Identifier
1144515701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0007528
- Practice address
- 4006 Robert C Byrd Dr
Beckley, WV 25801-2204 - Phone
- (304) 252-0456
- NPI assigned
- Jun 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0007528 | WV | Primary |
Addresses
Primary practice location
4006 Robert C Byrd Dr
Beckley, WV 25801-2204
Mailing address
4006 Robert C Byrd Dr
Beckley, WV 25801-2204
Phone (304) 252-0456
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP0007528 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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": "1307836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307836800000",
"number": "1144515701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4006 ROBERT C BYRD DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012204",
"telephone_number": "304-252-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4006 ROBERT C BYRD DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012204",
"telephone_number": "304-252-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKEN",
"first_name": "STUART",
"middle_name": "LANGER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-12",
"last_updated": "2011-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.