Active NPI
Portia N Brown, PHARMD
- Pharmacist
- Mobile, AL
National Provider Identifier
1407124191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15979
- Practice address
- 6395 Airport Blvd
Mobile, AL 36608-3131 - Phone
- (251) 342-0153
- Fax
- (251) 342-0857
- NPI assigned
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15979 | AL | Primary |
| Pharmacist | 183500000X | 48290 | TX |
Addresses
Primary practice location
6395 Airport Blvd
Mobile, AL 36608-3131
Mailing address
6708 Cedarwood CT
Mobile, AL 36695-2631
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15979 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Mobile, AL
- NPI 1144415720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1407124191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6708 CEDARWOOD CT",
"city": "MOBILE",
"state": "AL",
"postal_code": "366952631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6395 AIRPORT BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083131",
"telephone_number": "251-342-0153",
"fax_number": "251-342-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PORTIA",
"middle_name": "N",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AL",
"license": "15979",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "48290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.