Brenda Ann Pedota, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

13719 Issued in AL

Practice address

4715 Rice Mine Rd NE
Tuscaloosa, AL 35406-2648

Phone

(205) 345-3455

NPI assigned

Feb 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alabama CVS Pharmacy LLC

  • Pharmacy
  • Auburn, AL
  • NPI 1619668076
  NPD (past)
• Alabama CVS Pharmacy, L.L.C.

  • Pharmacy
  • Tuscaloosa, AL
  • NPI 1053415935
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1346212677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 RICE MINE RD NE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062648",
            "telephone_number": "205-345-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 RICE MINE RD NE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062648",
            "telephone_number": "205-345-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PSC 557 BOX 816",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "OKINAWA",
            "postal_code": "AP",
            "country_code": "JP",
            "telephone_number": "098-643-7557",
            "country_name": "Japan",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "PEDOTA",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "13719",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Payne, LICSW, PIP
• Dorothy M Peacock, C.R.N.A.
• Katy Nell Pearson
• Quincy De'Angelo Pearson
• Erica Bailey Peck-Love, RN
• Lisa J. Pennington, CRNA
• Madison Brooke Peoples, MD
• Sasank Raheel Peramsetty, MD
• Perception Counseling Services, LLC
• Rex Beach Perkins III, LICSW

• Pharmacist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.