Individual provider Active NPI

Melanie Mercer Brashear, RPH

  • Pharmacist
  • Gilmer, TX
National Provider Identifier
1285298877
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
290228 Issued in TX
Practice address
825 US Highway 271 N
Gilmer, TX 75644-5580
Phone
(903) 680-2600
Fax
(903) 680-2605
NPI assigned
Apr 29, 2019
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 290228 TX Primary

Addresses

Primary practice location

825 US Highway 271 N
Gilmer, TX 75644-5580

Mailing address

1320 FM 449
Longview, TX 75605-9265
Phone (903) 680-2600

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

LicenseStateTypeSpecialty
290228TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Shop Pharmacy Inc Past Accepting new patients
Med Shop Pharmacy Inc PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 2

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1285298877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 FM 449",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756059265",
            "telephone_number": "903-680-2600",
            "fax_number": "903-260-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 US HIGHWAY 271 N",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756445580",
            "telephone_number": "903-680-2600",
            "fax_number": "903-680-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHEAR",
        "first_name": "MELANIE",
        "middle_name": "MERCER",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "290228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilmer, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.