Individual provider Active NPI

Brandon Ladage, PHARMD

  • Pharmacist
  • Knoxville, TN
National Provider Identifier
1629516695
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39353 Issued in TN
Practice address
5908 Washington Pike
Ste 102
Knoxville, TN 37918-7100
Phone
(865) 525-4967
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39353 TN Primary

Addresses

Primary practice location

5908 Washington Pike
Ste 102
Knoxville, TN 37918-7100

Mailing address

5908 Washington Pike
Ste 102
Knoxville, TN 37918-7100
Phone (865) 525-4967

Other identifiers 1

IdentifierTypeStateIssuer
755133OtherTNNABP

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

LicenseStateTypeSpecialty
39353TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Belew Drugs Washington Pike Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1629516695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 WASHINGTON PIKE",
            "address_2": "STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379187100",
            "telephone_number": "865-525-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 WASHINGTON PIKE",
            "address_2": "STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379187100",
            "telephone_number": "865-525-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADAGE",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "39353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "755133",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.