Individual provider Active NPI

Brady Warren Rosenbluth, RPH

  • Pharmacist
  • Greensboro, NC
National Provider Identifier
1194028035
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14308 Issued in NC
Practice address
701 Francis King St.
Harris Teeter Pharmacy #033
Greensboro, NC 27410
Phone
(336) 856-8182
Fax
(336) 856-8145
NPI assigned
Dec 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14308 NC Primary

Addresses

Primary practice location

701 Francis King St.
Harris Teeter Pharmacy #033
Greensboro, NC 27410

Mailing address

701 Francis King St.
Harris Teeter Pharmacy #033
Greensboro, NC 27410
Phone (336) 856-8182

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14308NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1194028035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 FRANCIS KING ST.",
            "address_2": "HARRIS TEETER PHARMACY #033",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-856-8182",
            "fax_number": "336-856-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 FRANCIS KING ST.",
            "address_2": "HARRIS TEETER PHARMACY #033",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-856-8182",
            "fax_number": "336-856-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUTH",
        "first_name": "BRADY",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.