Individual provider Active NPI

Brandon Piatt, PHARMD

  • Pharmacist
  • Papillion, NE
National Provider Identifier
1235725573
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16896 Issued in NE
Practice address
1413 S Washington St Ste 125
Papillion, NE 68046-4151
Phone
(402) 331-8639
NPI assigned
Dec 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16896 NE Primary

Addresses

Primary practice location

1413 S Washington St Ste 125
Papillion, NE 68046-4151

Mailing address

1413 S Washington St Ste 125
Papillion, NE 68046-4151
Phone (402) 331-8639

Other practice location 1

12741 Q St
Omaha, NE 68137-3211
Phone (402) 895-3102

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
16896NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1235725573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S WASHINGTON ST STE 125",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464151",
            "telephone_number": "402-331-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S WASHINGTON ST STE 125",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464151",
            "telephone_number": "402-331-8639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12741 Q St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681373211",
            "country_code": "US",
            "telephone_number": "402-895-3102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIATT",
        "first_name": "BRANDON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "16896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.