Individual provider Active NPI

Teren Brown, RPH

  • Pharmacist
  • Shrewsbury, PA
National Provider Identifier
1548860901
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP043513L Issued in PA
Practice address
698 Shrewsbury Commons Ave
Shrewsbury, PA 17361-1617
Phone
(717) 235-7544
NPI assigned
Oct 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP043513L PA Primary

Addresses

Primary practice location

698 Shrewsbury Commons Ave
Shrewsbury, PA 17361-1617

Mailing address

1824 Windrow Dr
Lancaster, PA 17602-4165
Phone (215) 880-9581

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address T0B01F2.S02519.US@WAL-MART.COM Direct WAL-MART STORES EAST LP

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP043513LPAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: t0b01f2.s02519.us@wal-mart.com

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1548860901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 WINDROW DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024165",
            "telephone_number": "215-880-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 SHREWSBURY COMMONS AVE",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611617",
            "telephone_number": "717-235-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TEREN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043513L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "T0B01F2.S02519.US@WAL-MART.COM",
            "affiliation": "Y",
            "endpointDescription": "COMPANY EMAIL ADDRESS",
            "affiliationName": "WAL-MART STORES EAST LP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "698 Shrewsbury Commons Ave",
            "city": "Shrewsbury",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173611617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shrewsbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.