Brace Pharmacies, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

30118 Issued in TX

Legal business name

BRACE PHARMACIES, LLC

Doing business as

Liberty Hill Pharmacy and Compounding Center

Practice address

13740 W State Highway 29 Ste 4
Liberty Hill, TX 78642-6283

Phone

(512) 766-5479

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Whitney Lorraine Brace, PHARMDNPI 1528303104

Title

Pharmacist in Charge

Phone

(512) 766-5479

Specialties & licenses 1

Addresses

Other names 1

• Liberty Hill Pharmacy and Compounding Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Whitney Lorraine Brace, PHARMD

  • Pharmacist
  • Austin, TX
  • NPI 1528303104
  NPD Authorized official
• Kerry Clark, PHARM D

  • Pharmacist
  • Liberty Hill, TX
  • NPI 1023671336
  NPD (past)
• Timothy Iannone, DO

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1922280601
  NPD (past)
• Joel S Jones, DO

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1194783472
  NPD (past)
• Laura Ellen Purdy, MD

  • Family Medicine Physician
  • Calabasas, CA
  • NPI 1093058463
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1336524438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13740 W STATE HIGHWAY 29 STE 4",
            "address_2": "PO BOX 700",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426283",
            "telephone_number": "512-766-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13740 W STATE HIGHWAY 29 STE 4",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426283",
            "telephone_number": "512-766-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACE PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "BRACE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "512-766-5479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "30118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Hill Pharmacy and Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gayle Lynn Barre, PMHNP-BC
• Carli Bartling, LPC-ASSOCIATE
• Megan Basham, LMSW
• Molly Elizabeth Black, APRN
• Katherine Boyd, M.S., CCC-SLP
• Alyssa Lorraine Breen, CCC-SLP
• Gregory David Brooks Sr., RPH
• Brother's Keeper in-Home Care, LLC (Brother's Keeper In-Home Care)
• Kaylynn Brown
• Ally Bryant, DPT

• Compounding Pharmacy in Liberty Hill, TX
• Providers in Liberty Hill, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.