Active NPI
Joseph Thomas Brown II
- Pharmacist
- Avon Park, FL
National Provider Identifier
1477935500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS51307
- Practice address
- 1577 US Highway 27 N
Avon Park, FL 33825-2150 - Phone
- (863) 453-3884
- Fax
- (863) 453-3885
- NPI assigned
- Jun 25, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS51307 | FL | Primary |
Addresses
Primary practice location
1577 US Highway 27 N
Avon Park, FL 33825-2150
Mailing address
1577 US Highway 27 N
Avon Park, FL 33825-2150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS51307 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shivkrupa Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1477935500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1577 US HIGHWAY 27 N",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338252150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 US HIGHWAY 27 N",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338252150",
"telephone_number": "863-453-3884",
"fax_number": "863-453-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JOSEPH",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS51307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.