Individual provider Active NPI

Brent Tyler Brady, RPH

  • Pharmacist
  • Rock Hill, SC
National Provider Identifier
1649921966
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9096 Issued in SC
Practice address
1274 E Main St
Rock Hill, SC 29730-5948
Phone
(803) 526-7666
NPI assigned
Jan 18, 2022
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9096 SC Primary

Addresses

Primary practice location

1274 E Main St
Rock Hill, SC 29730-5948

Mailing address

200 Welling Cir
Greenville, SC 29607-3936

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brent.brady@rockhilltreatment.com

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
9096SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Treatment Specialists Current Accepting new patients
Rock Hill Treatment Specialists, Inc CurrentSince Jan 26, 2022 Accepting new patients
Lancaster Treatment Specialists, LLC Current Accepting new patients

Locations

1274 E Main St
Rock Hill, SC 29730
Phone (803) 526-7666

Organizations & group practices 3

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1649921966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WELLING CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 E MAIN ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305948",
            "telephone_number": "803-526-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "BRENT",
        "middle_name": "TYLER",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brent.brady@rockhilltreatment.com",
            "affiliation": "N",
            "address_1": "1274 E Main St",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297305948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.