NPIMap

Organization Active NPI

Brisma Pharmacy PLLC

  • Long Term Care Pharmacy
  • Chandler, AZ
National Provider Identifier
1255614038
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
Y005421 Issued in AZ
Legal business name
BRISMA PHARMACY PLLC
Doing business as
Brisma Pharmacy
Practice address
590 N Alma School Rd
Ste 3
Chandler, AZ 85224-4361
Phone
(480) 719-8798
Fax
(480) 719-8795
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Iboro Akpan, PHARMDNPI 1376856682
Title
Pic/Owner
Phone
(480) 577-8726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Y005421 AZ Primary

Addresses

Primary practice location

590 N Alma School Rd
Ste 3
Chandler, AZ 85224-4361

Mailing address

590 N Alma School Rd
Ste 3
Chandler, AZ 85224-4361
Phone (480) 719-8798

Other identifiers 2

IdentifierTypeStateIssuer
2132211OtherPK
651175MedicaidAZ

Other names 1

  • Brisma Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

590 N Alma School Rd
Ste 3
Chandler, AZ 85224
Phone (480) 719-8798

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1255614038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N ALMA SCHOOL RD",
            "address_2": "STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244361",
            "telephone_number": "480-719-8798",
            "fax_number": "480-719-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N ALMA SCHOOL RD",
            "address_2": "STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244361",
            "telephone_number": "480-719-8798",
            "fax_number": "480-719-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISMA PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "AKPAN",
        "authorized_official_first_name": "IBORO",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "480-577-8726",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y005421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132211",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651175",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brisma Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.