Individual provider Active NPI

Andrea Branco, PHARMD

  • Pharmacist
  • Glassboro, NJ
National Provider Identifier
1285239285
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03027300 Issued in NJ
Practice address
350 Buck Rd
Glassboro, NJ 08028-3309
Phone
(856) 307-0060
Fax
(856) 307-0037
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 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 28RI03027300 NJ Primary

Addresses

Primary practice location

350 Buck Rd
Glassboro, NJ 08028-3309

Mailing address

350 Buck Rd
Glassboro, NJ 08028-3309
Phone (856) 307-0060

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
28RI03027300NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1285239285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BUCK RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080283309",
            "telephone_number": "856-307-0060",
            "fax_number": "856-307-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BUCK RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080283309",
            "telephone_number": "856-307-0060",
            "fax_number": "856-307-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCO",
        "first_name": "ANDREA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03027300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.