Active NPI
Patrick Mark Brandon, PHARM.D.
- Pharmacist
- Austin, TX
National Provider Identifier
1225444037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60370
- Practice address
- 5345 N Ih 35
Austin, TX 78723-2428 - Phone
- (512) 452-9452
- NPI assigned
- Jul 2, 2014
- Last updated
- Apr 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020567 | AZ | |
| Pharmacist | 183500000X | PS53042 | FL | |
| Pharmacist | 183500000X | 60370 | TX | Primary |
Addresses
Primary practice location
5345 N Ih 35
Austin, TX 78723-2428
Mailing address
5345 N Ih 35
Austin, TX 78723-2428
Phone (512) 452-9452
Other practice location 1
6429 Gall Blvd
Zephyrhills, FL 33542-2570
Phone (813) 782-9571
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
| License | State | Type | Specialty |
|---|---|---|---|
| S020567 | AZ | MD | Pharmacist |
| PS53042 | FL | MD | Pharmacist |
| 60370 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1225444037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5345 N IH 35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232428",
"telephone_number": "512-452-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5345 N IH 35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232428",
"telephone_number": "512-452-9452"
}
],
"practiceLocations": [
{
"address_1": "6429 Gall Blvd",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335422570",
"country_code": "US",
"telephone_number": "813-782-9571",
"fax_number": "813-780-6489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDON",
"first_name": "PATRICK",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020567",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53042",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.