Brian Alexander Antis, PHARMD
Individual provider Active NPI Pharmacist · Robinson, TX
NPI 1154096873 · NPPES record last updated Aug 13, 2021
Key facts
- NPI
- 1154096873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 69110 (TX)
- Practice address
- 100 Peplow Dr
Robinson, TX 76706-5326 - Phone
- (254) 662-6403
- NPI assigned
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69110 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69110 | TX | Yes |
Addresses
Primary practice location
100 Peplow Dr
Robinson, TX 76706-5326
Mailing address
100 Peplow Dr
Robinson, TX 76706-5326
Phone (254) 662-6403
Other providers in Robinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.