BRX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRX LLC

Doing business as

Champion Pharmacy and Wellness

Practice address

319 S Virginia Ave
Bridgeport, WV 26330-1744

Phone

(304) 842-7979

Fax

(304) 848-9797

NPI assigned

May 17, 2019

Organization subpart

No

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

Authorized official

Name

Eric B. Belldina, RPH

Title

Member

Phone

(304) 276-5066

Specialties & licenses 1

Addresses

Other names 1

• Champion Pharmacy and Wellness Doing business as

Locations

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1609432459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LONE PINE DR",
            "city": "MASONTOWN",
            "state": "WV",
            "postal_code": "265428604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S VIRGINIA AVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301744",
            "telephone_number": "304-842-7979",
            "fax_number": "304-848-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "BELLDINA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-276-5066",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Champion Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Eli Brookover, MOTR/L
• Jamie L Brown, PRSS
• Kendra Marie Brown, RN
• Savanna Tamia Brown, MSW
• Jeffrey Wayne Browning, DDS
• James Lee Bryant II, MD
• Rachael L Bryant, D.C.
• Ann M Bryson, CRNA
• Alyssa Ashley Buffey, C
• Ashley Bugby, RN

• Community/Retail Pharmacy in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.