Active NPI
Stacey Malinda Brandt, PHARMD
- Pharmacist
- Pompano Beach, FL
National Provider Identifier
1487741153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36767
- Practice address
- 2528 NW 19TH St
Pompano Beach, FL 33069-5229 - Phone
- (954) 876-5000
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PS36767 | FL | Primary |
Addresses
Primary practice location
2528 NW 19TH St
Pompano Beach, FL 33069-5229
Mailing address
9463 Savannah Estates Dr
Lake Worth, FL 33467-6987
Phone (561) 964-1889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS36767 | Other | FL | LICENSE NUMBER |
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 |
|---|---|---|---|
| PS36767 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487741153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9463 SAVANNAH ESTATES DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676987",
"telephone_number": "561-964-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 NW 19TH ST",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330695229",
"telephone_number": "954-876-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "STACEY",
"middle_name": "MALINDA",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PS36767",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.