Active NPI
Bernadette Brown, PHARM.D.
- Pharmacist
- Chicago, IL
National Provider Identifier
1508951989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 820 S. Damen (119)
Jesse Brown VA Pharmacy Service
Chicago, IL 60612 - Phone
- (312) 569-7104
- Fax
- (312) 569-8122
- NPI assigned
- Oct 3, 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 | IL | Primary |
Addresses
Primary practice location
820 S. Damen (119)
Jesse Brown VA Pharmacy Service
Chicago, IL 60612
Mailing address
820 S. Damen (119)
Jesse Brown VA Pharmacy Service
Chicago, IL 60612
Phone (312) 569-7104
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 |
|---|---|---|---|
| 051-039463 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508951989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 S. DAMEN (119)",
"address_2": "JESSE BROWN VA PHARMACY SERVICE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-569-7104",
"fax_number": "312-569-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S. DAMEN (119)",
"address_2": "JESSE BROWN VA PHARMACY SERVICE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-569-7104",
"fax_number": "312-569-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "BERNADETTE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
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.