Individual provider Active NPI

Brian E Flug, RPH

  • Pharmacist
  • Woodland, WA
National Provider Identifier
1215338520
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00011782 Issued in WA
Practice address
1486 Dike Access Rd
Woodland, WA 98674-9359
Phone
(360) 841-9138
Fax
(360) 841-9132
NPI assigned
Sep 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00011782 WA Primary

Addresses

Primary practice location

1486 Dike Access Rd
Woodland, WA 98674-9359

Mailing address

1486 Dike Access Rd
Woodland, WA 98674-9359
Phone (360) 841-9138

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
PH00011782WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410048000000",
    "number": "1215338520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 DIKE ACCESS RD",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749359",
            "telephone_number": "360-841-9138",
            "fax_number": "360-841-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 DIKE ACCESS RD",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749359",
            "telephone_number": "360-841-9138",
            "fax_number": "360-841-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUG",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-07",
        "last_updated": "2014-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00011782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; 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.