Individual provider Active NPI

Brett Andrew Eisenmann, PHARMD

  • Pharmacist
  • Irondale, AL
National Provider Identifier
1679050363
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH030719 Issued in GA
Practice address
7001 Crestwood Blvd Ste 112
Irondale, AL 35210-2345
Phone
(205) 216-2373
NPI assigned
Jul 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH030719 GA Primary

Addresses

Primary practice location

7001 Crestwood Blvd Ste 112
Irondale, AL 35210-2345

Mailing address

5576 13TH Ave S
Birmingham, AL 35222-4114
Phone (205) 216-2373

Other practice location 1

1111 Lower Fayetteville Rd
Newnan, GA 30265-6501
Phone (770) 502-2370

Other identifiers 2

IdentifierTypeStateIssuer
RPH030719OtherGAGEORGIA BOARD OF PHARMACY
21549OtherALALABAMA BOARD OF PHARMACY

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
RPH030719GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Pharmacy LLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

7001 Crestwood Blvd
Ste 112
Irondale, AL 35210
Phone (205) 216-2373

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1679050363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 13TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352224114",
            "telephone_number": "205-216-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CRESTWOOD BLVD STE 112",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102345",
            "telephone_number": "205-216-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Lower Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302656501",
            "country_code": "US",
            "telephone_number": "770-502-2370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENMANN",
        "first_name": "BRETT",
        "middle_name": "ANDREW",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "RPH030719",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF PHARMACY",
            "identifier": "21549",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.