Alicia Brazelton

Primary specialty

PharmacistTaxonomy code 183500000X

License

67147 Issued in TX

Practice address

747 E Crosstimbers St
Houston, TX 77022-3725

Phone

(713) 695-2427

NPI assigned

Dec 24, 2020

Last updated

Dec 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #12015

  • Pharmacy
  • Houston, TX
  • NPI 1689689630
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1437746419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 E CROSSTIMBERS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223725",
            "telephone_number": "713-695-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 E CROSSTIMBERS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223725",
            "telephone_number": "713-695-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZELTON",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "67147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "address_1": "747 E Crosstimbers St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770223725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Anne Bray, M.D.
• Rachel Bray, M.D.
• Sara Meagan Bray, NP
• Brays Bayou Emergency Physicians, PLLC
• Hayley S. Brazeale, PHARMD
• Lisa R. Brazil, L.V.N.
• Keenah Orelia Brazile
• Jazmine Brianna Brazle, LPC
• Brazos Emergency Physicians, PA
• Brazos Medical Center

• Pharmacist in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.