Brandy Grace Allen, RPH
Individual provider Active NPI Pharmacist · Huntington, WV
NPI 1407088032 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1407088032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS47514 (FL)
- Practice address
- 1308 4TH Ave
Huntington, WV 25701-2401 - Phone
- (681) 529-1313
- NPI assigned
- Aug 15, 2009
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS47514 | FL | MD | Pharmacist |
| 3072 | HI | MD | Pharmacist |
| 9910 | OR | MD | Pharmacist |
| 244 | VI | MD | Pharmacist |
| RP0012589 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0012589 | WV | |
| Pharmacist | 183500000X | 9910 | OR | |
| Pharmacist | 183500000X | 244 | VI | |
| Pharmacist | 183500000X | 3072 | HI | |
| Pharmacist | 183500000X | PS47514 | FL | Yes |
Addresses
Primary practice location
1308 4TH Ave
Huntington, WV 25701-2401
Mailing address
1308 4TH Ave
Huntington, WV 25701-2401
Phone (681) 529-1313
Other providers in Huntington, WV
- Mohammed Aljasmi
- Fadi W Alkhankan
- Hamza Alkowatli
- All Med LLC
- Benjamin Allan
- Catherine Allen
- Cornellius T Allen
- Deborah Allen
- Deborah Ann Allen
- Dominic Allen
All providers in Huntington, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 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.