Active NPI
Alfreda Geraldine Brewer, RPH
- Pharmacist
- Farmington, MO
National Provider Identifier
1255049755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30054
- Practice address
- 707 Walton Dr
Farmington, MO 63640-1950 - Phone
- (573) 756-8677
- Fax
- (573) 756-8701
- NPI assigned
- Nov 14, 2022
- Last updated
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30054 | MO | Primary |
Addresses
Primary practice location
707 Walton Dr
Farmington, MO 63640-1950
Mailing address
707 Walton Dr
Farmington, MO 63640-1950
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30054 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 1
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": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1255049755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 WALTON DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 WALTON DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401950",
"telephone_number": "573-756-8677",
"fax_number": "573-756-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "ALFREDA",
"middle_name": "GERALDINE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "30054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.