Active NPI
Brian Knight, PHARMD
- Pharmacist
- West Springfield, MA
National Provider Identifier
1639692726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH239216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0014128 | CT | MD | Pharmacist |
| PH239216 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.