Individual provider Active NPI

Brittany Kay Badour

  • Pharmacist
  • Flagstaff, AZ
National Provider Identifier
1306253489
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S020645 Issued in AZ
Practice address
2750 S Woodlands Village Blvd
Flagstaff, AZ 86001-7128
Phone
(927) 773-1013
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S020645 AZ Primary

Addresses

Primary practice location

2750 S Woodlands Village Blvd
Flagstaff, AZ 86001-7128

Mailing address

5000 N Mall Way
Apt. 311
Flagstaff, AZ 86004-5046

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

State licenses

LicenseStateTypeSpecialty
S020645AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1306253489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 N MALL WAY",
            "address_2": "APT. 311",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S WOODLANDS VILLAGE BLVD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017128",
            "telephone_number": "927-773-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADOUR",
        "first_name": "BRITTANY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S020645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.