Individual provider Active NPI

Brenda Meade, PHARMACIST

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1144853938
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
116314 Issued in MN
Practice address
4805 E Thistle Landing Dr
Phoenix, AZ 85044-6478
Phone
(858) 410-1108
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 116314 MN Primary

Addresses

Primary practice location

4805 E Thistle Landing Dr
Phoenix, AZ 85044-6478

Mailing address

1889 W Queen Creek Rd Apt 2099
Chandler, AZ 85248-3098
Phone (612) 839-7817

Other practice location 1

4805 E Thistle Landing Dr
Phoenix, AZ 85044-6478
Phone (858) 410-1108

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

State licenses

LicenseStateTypeSpecialty
116314MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1144853938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 W QUEEN CREEK RD APT 2099",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483098",
            "telephone_number": "612-839-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 E THISTLE LANDING DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446478",
            "telephone_number": "858-410-1108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4805 E Thistle Landing Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850446478",
            "country_code": "US",
            "telephone_number": "858-410-1108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADE",
        "first_name": "BRENDA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "116314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.