Individual provider Active NPI

Brian Knight, PHARMD

  • Pharmacist
  • West Springfield, MA
National Provider Identifier
1639692726
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH239216 Issued in MA
Practice address
1111 Elm St Ste 12
West Springfield, MA 01089-1540
Phone
(844) 469-5933
Fax
(860) 474-3558
NPI assigned
Jul 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0014128 CT
Pharmacist 183500000X PH239216 MA Primary

Addresses

Primary practice location

1111 Elm St Ste 12
West Springfield, MA 01089-1540

Mailing address

14 Mooreland St
Feeding Hills, MA 01030-2324
Phone (413) 281-2690

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
PCT.0014128CTMDPharmacist
PH239216MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mylyfe LLC Current Accepting new patients
Mylyfe LLC Current Accepting new patients

Locations

1111 Elm St
Ste 12
West Springfield, MA 01089
Phone (413) 737-8477

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1639692726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MOORELAND ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302324",
            "telephone_number": "413-281-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ELM ST STE 12",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891540",
            "telephone_number": "844-469-5933",
            "fax_number": "860-474-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0014128",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH239216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.