Individual provider Active NPI

Carl Joseph Braunagel Jr., R.PH.

  • Pharmacist
  • Port Jervis, NY
National Provider Identifier
1215006523
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037361-1 Issued in NY
Practice address
10 Sussex St # 12
Alitons Pharmacy
Port Jervis, NY 12771-2421
Phone
(845) 856-8314
Fax
(845) 856-8315
NPI assigned
Nov 8, 2006
Last updated
Feb 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 037361-1 NY Primary

Addresses

Primary practice location

10 Sussex St # 12
Alitons Pharmacy
Port Jervis, NY 12771-2421

Mailing address

10 Sussex St # 12
Alitons Pharmacy
Port Jervis, NY 12771-2421
Phone (845) 856-8314

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
037361-1NYMDPharmacist

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1215006523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUSSEX ST # 12",
            "address_2": "ALITONS PHARMACY",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712421",
            "telephone_number": "845-856-8314",
            "fax_number": "845-856-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUSSEX ST # 12",
            "address_2": "ALITONS PHARMACY",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712421",
            "telephone_number": "845-856-8314",
            "fax_number": "845-856-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNAGEL",
        "first_name": "CARL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037361-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.