Brady Shimek
Individual provider Active NPI Pharmacist · Salado, TX
NPI 1154937522 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1154937522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 51584 (TX)
- Practice address
- 215 Mill Creek Dr
Salado, TX 76571-9344 - Phone
- (254) 947-3185
- NPI assigned
- Sep 21, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51584 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookshire Brothers Inc | Past |
Accepting new patients | |
| Brookshire Brothers Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51584 | TX | Yes |
Addresses
Primary practice location
215 Mill Creek Dr
Salado, TX 76571-9344
Mailing address
102 Trotter Dr
Georgetown, TX 78626-6352
Other providers in Salado, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. 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.