Breanna Noel Branham, PHARMD
Individual provider Active NPI Pharmacist · Albertville, AL
NPI 1346900495 · NPPES record last updated Dec 29, 2021
Key facts
- NPI
- 1346900495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22029 (AL)
- Practice address
- 6181 US Highway 431
Albertville, AL 35950-2011 - Phone
- (256) 878-3502
- NPI assigned
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22029 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Past |
Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22029 | AL | Yes |
Addresses
Primary practice location
6181 US Highway 431
Albertville, AL 35950-2011
Mailing address
162 Fowler Rd
Oneonta, AL 35121-6754
Phone (205) 363-0673
Other providers in Albertville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.