Michael Brian Brady, PHARMD
Individual provider Active NPI Pharmacist · Pine Ridge, SD
NPI 1316246259 · NPPES record last updated Mar 17, 2011
Key facts
- NPI
- 1316246259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-1505 (KS)
- Practice address
- East Hiway 18
Pine Ridge, SD 57770-1201 - Phone
- (605) 867-3192
- NPI assigned
- Mar 17, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18932 | CO | MD | Pharmacist |
| 1-1505 | KS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18932 | CO | |
| Pharmacist | 183500000X | 1-1505 | KS | Yes |
Addresses
Primary practice location
East Hiway 18
Pine Ridge, SD 57770-1201
Mailing address
PO Box 1201
Pine Ridge, SD 57770-1201
Phone (605) 867-3192
Other providers in Pine Ridge, SD
- Jodee Bettelyoun
- Mary Bickel
- Black Hills Dialysis, LLC
- Teresa Annette Blacksmith
- Jodi Dionne Bourne
- Catherine Stilwell Brechtel
- Heather J Brehmer
- Patricia Jane Broberg
- Hayley Marie Brunsch
- Hector Ivan Burgos
All providers in Pine Ridge, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.