Zachary Taylor Brown, PHARMD
Individual provider Active NPI Pharmacist · Troy, MO
NPI 1164026068 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1164026068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2020025325 (MO)
- Practice address
- 1000 E Cherry St
Troy, MO 63379-1513 - Phone
- (636) 528-3365
- Fax
- (636) 528-4781
- NPI assigned
- Nov 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2020025325 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2020025325 | MO | Yes |
Addresses
Primary practice location
1000 E Cherry St
Troy, MO 63379-1513
Mailing address
1000 E Cherry St
Troy, MO 63379-1513
Phone (636) 528-8551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020025325 | Other | MO | MISSOURI BOARD OF PHARMACY |
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. 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.