WM Brown Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0380002002 Issued in VT

Legal business name

WM BROWN PHARMACY, INC

Practice address

10 Park St
Brandon, VT 05733-1122

Phone

(802) 247-6152

Fax

(802) 247-6852

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William John Brown

Title

Owner President

Phone

(802) 247-6152

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brown's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487715306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARK ST",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057331122",
            "telephone_number": "802-247-6152",
            "fax_number": "802-247-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK ST",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057331122",
            "telephone_number": "802-247-6152",
            "fax_number": "802-247-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM BROWN PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "802-247-6152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "0380002002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "4700654",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007032",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wintergreen Residential Care, LLC

• Community/Retail Pharmacy in Brandon, VT
• Providers in Brandon, VT by specialty
• Community/Retail Pharmacy in Vermont

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