Active NPI
Mitchell Tucker Brown, PHARMD
- Pharmacist
- Elizabeth City, NC
National Provider Identifier
1376826255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16796
- Practice address
- 1141 N Road St
Suite A1
Elizabeth City, NC 27909-3354 - Phone
- (252) 331-1333
- Fax
- (252) 331-1911
- NPI assigned
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 16796 | NC | Primary |
Addresses
Primary practice location
1141 N Road St
Suite A1
Elizabeth City, NC 27909-3354
Mailing address
1141 N Road St
Suite A1
Elizabeth City, NC 27909-3354
Phone (252) 331-1333
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todds Northside Professional Pharmacy,Inc. | Past | Accepting new patients | |
| Todds Northside Professional Pchy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Elizabeth City, NC
- NPI 1558450247
-
- Community/Retail Pharmacy
- Elizabeth City, NC
- NPI 1679850879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1376826255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 N ROAD ST",
"address_2": "SUITE A1",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093354",
"telephone_number": "252-331-1333",
"fax_number": "252-331-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 N ROAD ST",
"address_2": "SUITE A1",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093354",
"telephone_number": "252-331-1333",
"fax_number": "252-331-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MITCHELL",
"middle_name": "TUCKER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.