Deidra C Brown, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH015697 Issued in GA

Practice address

815 Shugart Rd
Dalton, GA 30720-2433

Phone

(706) 271-2834

NPI assigned

Nov 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1497936223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SHUGART RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202433",
            "telephone_number": "706-271-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SHUGART RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202433",
            "telephone_number": "706-271-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DEIDRA",
        "middle_name": "C",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH015697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce L Broadrick Jr., PHARMD., LPC
• Megan Elizabeth Brock, PT, DPT, MPH
• Wesley Carson Brock, PHARM.D.
• Peyton Brianne Brooker
• William Thomas Brooker
• Emily Brown, RBT
• Jordan Brown, ATC, LAT
• Kenneth Allan Brown, DMD
• Laura Brown, APRN
• Leeann Brown, N.P.

• Pharmacist in Dalton, GA
• Providers in Dalton, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.