Active NPI
Harry Lee Brogden Jr.
- Pharmacist
- Summerfield, NC
National Provider Identifier
1316172190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10438
- Practice address
- 4446 US Highway 220 N Ste C
Summerfield, NC 27358-9415 - Phone
- (336) 644-7058
- Fax
- (336) 644-7297
- NPI assigned
- May 21, 2009
- Last updated
- May 21, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10438 | NC | Primary |
Addresses
Primary practice location
4446 US Highway 220 N Ste C
Summerfield, NC 27358-9415
Mailing address
4446 US Highway 220 N Ste C
Summerfield, NC 27358-9415
Phone (336) 644-7058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0418181 | Medicaid | NC |
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
Organizations & group practices 3
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.
-
dba Summerfield Pharmacy Immunization
- Community/Retail Pharmacy
- Summerfield, NC
- NPI 1285861310
-
dba Summerfield Pharmacy
- Durable Medical Equipment & Medical Supplies
- Summerfield, NC
- NPI 1376866699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1316172190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4446 US HIGHWAY 220 N STE C",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589415",
"telephone_number": "336-644-7058",
"fax_number": "336-644-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4446 US HIGHWAY 220 N STE C",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589415",
"telephone_number": "336-644-7058",
"fax_number": "336-644-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGDEN",
"first_name": "HARRY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0418181",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Summerfield, NC
- Todd David Bourn, RPH
- Donna Pearl Brandon, PA
- Brogden Corporation (Summerfield Pharmacy Immunization)
- Brogden Corporation (Summerfield Pharmacy)
- Brogden Corporation (Summerfield Pharmacy)
- Michele Brooks, DNP, RN
- Rod C Brown, D.C.
- Maria Isabel Buckner, PHARMD
- Brent Alan Burnett, MD
- Madison Christine Buttonow
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.