Brashears Vital Care Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22730 Issued in FL

Legal business name

BRASHEARS VITAL CARE CORP

Doing business as

Brashear's Pharmacy

Practice address

471 N Dacie PT
Lecanto, FL 34461

Phone

(352) 746-3420

Fax

(352) 746-6741

NPI assigned

Jun 22, 2007

Last updated

Sep 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse Brashear

Title

Director

Phone

(352) 637-2079

Specialties & licenses 1

Addresses

Other names 1

• Brashear's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Brashears Vital Care Corp

  dba Brashears Pharmacy

  • Community/Retail Pharmacy
  • Inverness, FL
  • NPI 1710912662

  9931006202

  Same PAC ID

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Thomas John Stimson, PHARMD

  • Pharmacist
  • Lecanto, FL
  • NPI 1619690963
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1679779185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 N DACIE PT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "34461",
            "telephone_number": "352-746-3420",
            "fax_number": "352-746-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 N DACIE PT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "34461",
            "telephone_number": "352-746-3420",
            "fax_number": "352-746-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASHEARS VITAL CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "BRASHEAR",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-637-2079"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brashear's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Danielle Boardman
• Brian Keith Bonomo, PAC
• Shenevia Nichole Bostick
• Mary Beth Bottorf, APRN
• Timothy A Brant, M.D.
• Megan Brecher, APRN
• Brentwood Health Care Associates LLC (Health Center at Brentwood)
• Brentwood Meadow Health Care Associates LLC (Brentwood Retirement Community)
• Brentwoodmeadowhealthcareassodbabrentwood Retirement Community
• Charles F. Brinegar Jr., ARNP

• Community/Retail Pharmacy in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.