Active NPI
Joseph Michael Brown, PHARMD
- Pharmacist
- Ammon, ID
National Provider Identifier
1346417003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6074
- Practice address
- 3160 E 17TH St Ste 164
Ammon, ID 83406-6784 - Phone
- (208) 529-1795
- NPI assigned
- May 13, 2008
- Last updated
- Sep 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | P6074 | ID | Primary |
Addresses
Primary practice location
3160 E 17TH St Ste 164
Ammon, ID 83406-6784
Mailing address
3901 Summerwood Lane
Ammon, ID 83406
Phone (208) 360-4446
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 |
|---|---|---|---|
| P6074 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725667200000",
"number": "1346417003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 SUMMERWOOD LANE",
"city": "AMMON",
"state": "ID",
"postal_code": "83406",
"telephone_number": "208-360-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 E 17TH ST STE 164",
"city": "AMMON",
"state": "ID",
"postal_code": "834066784",
"telephone_number": "208-529-1795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2024-09-07",
"certification_date": "2024-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ammon, ID
- Cory Franklin Briscoe, APRN CRNA MSN
- Zachary Brooks, LMSW
- Broulim Supermarkets, LLC (Broulim's Pharmacy #8 - Ammon)
- Broulim Supermarkets, LLC (Broulim's Pharmacy #17 - 17th Street)
- Brittany Renae Brown, DPT
- Toni Marie Brown, PHARMD
- Daniel Buono
- Melissa Buono
- Elane Burgess, RC-CPSS
- Lalanni Burnell, CPSS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.