Active NPI
Mendie Elise Brasseale, PHARMD
- Pharmacist
- Tuscaloosa, AL
National Provider Identifier
1336864040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16919
- Practice address
- 809 University Blvd E
Tuscaloosa, AL 35401-2071 - Phone
- (205) 759-6901
- NPI assigned
- Oct 5, 2022
- 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 | 16919 | AL | Primary |
Addresses
Primary practice location
809 University Blvd E
Tuscaloosa, AL 35401-2071
Mailing address
4118 Lakepoint Dr
Tuscaloosa, AL 35405-4633
Phone (256) 302-4476
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16919 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1336864040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4118 LAKEPOINT DR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354054633",
"telephone_number": "256-302-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 UNIVERSITY BLVD E",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354012071",
"telephone_number": "205-759-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASSEALE",
"first_name": "MENDIE",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.