Geoffrey Edward Braun, PHARMD
Individual provider Active NPI Pharmacist · Decatur, IN
NPI 1356061147 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1356061147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26029938A (IN)
- Practice address
- 1700 S 13TH St
Decatur, IN 46733-2190 - Phone
- (260) 724-8800
- NPI assigned
- Aug 31, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 26029938A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26029938A | IN | Yes |
Addresses
Primary practice location
1700 S 13TH St
Decatur, IN 46733-2190
Mailing address
1700 S 13TH St
Decatur, IN 46733-2190
Phone (260) 724-8800
Other providers in Decatur, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. 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.