Active NPI
Amanda Brainard, PHARMD
- Pharmacist
- Dunbar, WV
National Provider Identifier
1467068049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0007043
- Practice address
- 121 10TH St
Dunbar, WV 25064-3103 - Phone
- (304) 768-0023
- NPI assigned
- Sep 19, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 03230741 | OH | |
| Pharmacist | 183500000X | RP0007043 | WV | Primary |
Addresses
Primary practice location
121 10TH St
Dunbar, WV 25064-3103
Mailing address
5208 Stephen Way
Cross Lanes, WV 25313-1162
Phone (304) 546-4371
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 |
|---|---|---|---|
| 03230741 | OH | MD | Pharmacist |
| RP0007043 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600473600000",
"number": "1467068049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5208 STEPHEN WAY",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131162",
"telephone_number": "304-546-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 10TH ST",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250643103",
"telephone_number": "304-768-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAINARD",
"first_name": "AMANDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-19",
"last_updated": "2020-09-19",
"certification_date": "2020-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03230741",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunbar, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.