Active NPI
Karel Renae Brummett, PHARM D
- Geriatric Pharmacist
- Shreveport, LA
National Provider Identifier
1306028345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 10954
- Practice address
- 8410 W Wilderness Way
Shreveport, LA 71106-5944 - Phone
- (318) 272-6284
- Fax
- (318) 869-2923
- NPI assigned
- Dec 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 10954 | LA | Primary |
Addresses
Primary practice location
8410 W Wilderness Way
Shreveport, LA 71106-5944
Mailing address
8410 W Wilderness Way
Shreveport, LA 71106-5944
Phone (318) 272-6284
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10954 | LA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196467200000",
"number": "1306028345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8410 W WILDERNESS WAY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711065944",
"telephone_number": "318-272-6284",
"fax_number": "318-869-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8410 W WILDERNESS WAY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711065944",
"telephone_number": "318-272-6284",
"fax_number": "318-869-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMMETT",
"first_name": "KAREL",
"middle_name": "RENAE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-01",
"last_updated": "2007-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "LA",
"license": "10954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.