Melvin Douglas Brannan, PH.D, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202004054 Issued in VA

Practice address

1756 Anderson Hwy
Cumberland, VA 23040-2524

Phone

(804) 492-4325

NPI assigned

Apr 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Pharmacist

State licenses

Practice roles

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.

• Cumberland Pharmacy Inc

  • Community/Retail Pharmacy
  • Cumberland, VA
  • NPI 1669601324
  NPD (past)
• Johnson Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Cumberland, VA
  • NPI 1477656510
  NPD (past)

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1437779261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 WILLIAM DANCE WAY",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397748",
            "telephone_number": "804-869-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 ANDERSON HWY",
            "city": "CUMBERLAND",
            "state": "VA",
            "postal_code": "230402524",
            "telephone_number": "804-492-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "MELVIN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202004054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "0202004054",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CumberlandPharmacy",
            "affiliation": "N",
            "endpointDescription": "Rx30 Computer Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1756 Anderson Hwy",
            "city": "Cumberland",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230402524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amico Senior Transportation Services LLC
• Courtenay James Baber
• Marie A Boehling
• Zyaira Booker, OTR/L
• Bright Futures of Virginia, LLC
• Tarisha Malosha Brooks
• David Bryce Brown, MD
• Colvin Care Homes LLC
• Commonwealth of Virginia State Board of Health

• Pharmacist in Cumberland, VA
• Providers in Cumberland, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.