Individual provider Active NPI

Brent Breeding

  • Pharmacist
  • Conway, AR
National Provider Identifier
1598478448
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD07490 Issued in AR
Practice address
2605 Orchard Park Rd
Conway, AR 72034-8341
Phone
(501) 339-5257
NPI assigned
Jan 5, 2023
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD07490 AR Primary

Addresses

Primary practice location

2605 Orchard Park Rd
Conway, AR 72034-8341

Mailing address

2605 Orchard Park Rd
Conway, AR 72034-8341
Phone (501) 339-5257

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brent.breeding@carelon.com Health Information Exchange (HIE)
Direct Messaging Address brent.breeding@carelon.com Direct

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

State licenses

LicenseStateTypeSpecialty
PD07490ARMDPharmacist

Interoperability endpoints

  • Direct secure messaging: brent.breeding@carelon.com

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1598478448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 ORCHARD PARK RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348341",
            "telephone_number": "501-339-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 ORCHARD PARK RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348341",
            "telephone_number": "501-339-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "BRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD07490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brent.breeding@carelon.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2605 Orchard Park Rd",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brent.breeding@carelon.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "2605 Orchard Park Rd",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.