Colleen Rae Brown, C.PH.T.

Key facts

NPI

1356561807

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacy Technician 183700000X

License

360 (ND)

Practice address

725 Hamline St
Grand Forks, ND 58203-2819

Phone

(701) 777-6870

Fax

(701) 777-6878

NPI assigned

Apr 26, 2007

Sex

Female

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

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356561807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HAMLINE ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032819",
            "telephone_number": "701-777-6870",
            "fax_number": "701-777-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HAMLINE ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032819",
            "telephone_number": "701-777-6870",
            "fax_number": "701-777-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "COLLEEN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "C.PH.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "ND",
            "license": "360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

• Christina Nicole Brooks, PA-C
• Kelsie Brooks, M.D.
• Myles James Brooks, DC
• Ivy Belle Brosseau, APRN, FNP-BC
• Jonathan Randall Brower
• Leifka Brown
• Leon Pernell Brown
• Michael R Brown, MD
• Tiana Christina Brown, OTR
• Kyle James Brownfield, PA-C

All providers in Grand Forks, ND · Pharmacy Technician in North Dakota