Serge Alexander Branki, PHARMACY CLINICIAN

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PC000118 Issued in NM

Practice address

801 Vassar Dr NE
Albuquerque Indian Health Center
Albuquerque, NM 87106-2725

Phone

(505) 248-4027

Fax

(505) 248-7642

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174684807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VASSAR DR NE",
            "address_2": "ALBUQUERQUE INDIAN HEALTH CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062725",
            "telephone_number": "505-248-4027",
            "fax_number": "505-248-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VASSAR DR NE",
            "address_2": "ALBUQUERQUE INDIAN HEALTH CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062725",
            "telephone_number": "505-248-4027",
            "fax_number": "505-248-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANKI",
        "first_name": "SERGE",
        "middle_name": "ALEXANDER",
        "credential": "PHARMACY CLINICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NM",
            "license": "PC000118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Elise Brandt, OTR
• John Robert Brandt, MD
• Kathleen Ann Brandt, PT
• Penny Sue Brandt, D.O.
• Judith Anita Branham, LPC
• Diane Michele Brannan
• Joshua Brannan
• Ann Branscum, ED.S.
• Jaelyn Viola Marie Bransford, RD, LD
• Daniella Brantley

• Pharmacotherapy Pharmacist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pharmacotherapy Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.