Individual provider Active NPI

Angela Denise Brown, PHARMD

  • Pharmacist
  • Altamonte Springs, FL
National Provider Identifier
1255085650
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS36824 Issued in FL
Practice address
741 Orange Ave
Altamonte Springs, FL 32714-3031
Phone
(407) 786-7818
Fax
(407) 786-7829
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS36824 FL Primary

Addresses

Primary practice location

741 Orange Ave
Altamonte Springs, FL 32714-3031

Mailing address

741 Orange Ave
Altamonte Springs, FL 32714-3031
Phone (407) 786-7818

Other identifiers 1

IdentifierTypeStateIssuer
PS36824OtherFLREGISTERED PHARMACIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Costco.com

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
PS36824FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1255085650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 ORANGE AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143031",
            "telephone_number": "407-786-7818",
            "fax_number": "407-786-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 ORANGE AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143031",
            "telephone_number": "407-786-7818",
            "fax_number": "407-786-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS36824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "PS36824",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Costco.com",
            "affiliation": "N",
            "address_1": "741 Orange Ave",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327143031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.