Individual provider Active NPI

Brandy Watson, PHARMD

  • Pharmacist
  • Carson City, MI
National Provider Identifier
1144733700
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302039579 Issued in MI
Practice address
245 S 2ND St
Carson City, MI 48811-9650
Phone
(989) 584-3272
Fax
(989) 584-0541
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

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
5302039579MIMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302039579 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

245 S 2ND St
Carson City, MI 48811-9650

Mailing address

245 S 2ND St
Carson City, MI 48811-9650
Phone (989) 584-3272

Other practice location 1

240 M.A.C Ave East
East Lansing, MI 48823
Phone (517) 336-8317

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
5302039579OtherMIPHARMACIST LICENSE
5315096730OtherMICONTROLLED SUBSTANCE LICENSE

Other names 1

NPPES NPI Registry
  • Brandy Schlagel Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL unknown

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2021.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1144733700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S 2ND ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488119650",
            "telephone_number": "989-584-3272",
            "fax_number": "989-584-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S 2ND ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488119650",
            "telephone_number": "989-584-3272",
            "fax_number": "989-584-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 M.A.C Ave East",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "48823",
            "country_code": "US",
            "telephone_number": "517-336-8317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BRANDY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "5302039579",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICENSE",
            "identifier": "5315096730",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "address_1": "240 M.A.C Ave East",
            "city": "East Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "SCHLAGEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carson City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.