Individual provider Active NPI

John Michael Brislin, B.PHARM.,RPH, FIAIHC

  • Geriatric Pharmacist
  • Lexington, KY
National Provider Identifier
1477553469
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
008002 Issued in KY
Practice address
1096 Duval St
Suite J
Lexington, KY 40515-6219
Phone
(859) 271-8677
Fax
(866) 861-8841
NPI assigned
Jul 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8002 KY
Pharmacist 183500000X 8002 KY
Pharmacotherapy Pharmacist 1835P1200X 8002 KY
Psychiatric Pharmacist 1835P1300X 8002 KY
Geriatric Pharmacist 1835G0303X 008002 KY Primary

Addresses

Primary practice location

1096 Duval St
Suite J
Lexington, KY 40515-6219

Mailing address

PO Box 25163
Lexington, KY 40524-5163
Phone (859) 271-8677

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
008002KYMDGeriatric Pharmacist
8002KYMDPsychiatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1122768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327708800000",
    "number": "1477553469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25163",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405245163",
            "telephone_number": "859-271-8677",
            "fax_number": "866-861-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 DUVAL ST",
            "address_2": "SUITE J",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156219",
            "telephone_number": "859-271-8677",
            "fax_number": "866-861-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISLIN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "B.PHARM.,RPH, FIAIHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-31",
        "last_updated": "2012-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "8002",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "8002",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "KY",
            "license": "8002",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "KY",
            "license": "8002",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "KY",
            "license": "008002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; 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.