Active NPI
Brenna Ross
- Pharmacist
- Charleston, WV
National Provider Identifier
1326584897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0009978
- Practice address
- 6135 Sissonville Dr
Charleston, WV 25312-9444 - Phone
- (304) 343-8030
- Fax
- (304) 343-8031
- NPI assigned
- Jan 9, 2017
- Sex
- Female
- Sole proprietor
- No
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 | RP0009978 | WV | Primary |
Addresses
Primary practice location
6135 Sissonville Dr
Charleston, WV 25312-9444
Mailing address
6135 Sissonville Dr
Charleston, WV 25312-9444
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP0009978 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1326584897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 SISSONVILLE DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253129444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6135 SISSONVILLE DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253129444",
"telephone_number": "304-343-8030",
"fax_number": "304-343-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "BRENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-09",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0009978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.