Individual provider Active NPI

Branden Lee Feist, PHARMD

  • Pharmacist
  • Davenport, IA
National Provider Identifier
1184366965
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19837 Issued in IA
Practice address
2807 E 64TH CT
Davenport, IA 52807-3523
Phone
(563) 343-6365
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19837 IA Primary

Addresses

Primary practice location

2807 E 64TH CT
Davenport, IA 52807-3523

Mailing address

2807 E 64TH CT
Davenport, IA 52807-3523
Phone (563) 343-6365

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19837IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1184366965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 E 64TH CT",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073523",
            "telephone_number": "563-343-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 E 64TH CT",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073523",
            "telephone_number": "563-343-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIST",
        "first_name": "BRANDEN",
        "middle_name": "LEE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.