Active NPI
Brent Breeding
- Pharmacist
- Conway, AR
National Provider Identifier
1598478448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD07490
- Practice address
- 2605 Orchard Park Rd
Conway, AR 72034-8341 - Phone
- (501) 339-5257
- NPI assigned
- Jan 5, 2023
- Last updated
- Jan 5, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PD07490 | AR | MD | Pharmacist |
Interoperability endpoints
- 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
- Francesca Brasko
- Catherine 'Katie' Bratcher, PT
- Breakthrough Center for Recovery LLC
- Breakthrough Counseling and Assessment Services, LLC
- Emily Elizabeth Breckling, M.A., CCC-SLP
- Brieanna R Breeding, APN
- Meghan Bretz, OTR/L
- Bailey Nicole Brewer, PHARMD
- Ernest Brewer Jr., RECOVERY ASSISTANT
- Miesha Brewer, RECOVERY ASSISTANT
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.