Abby Marie Brancaccio, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

21171 Issued in NC

Practice address

15090 Idlewild Rd
Matthews, NC 28104-3653

Phone

(704) 882-4051

Fax

(704) 882-0390

NPI assigned

Sep 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Abby Marie Huston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• SDS Pharmacy Inc

  dba Sheldon Pharmacy of Yale, Inc.

  • Community/Retail Pharmacy
  • Yale, MI
  • NPI 1093823452
  NPD
• SDS Pharmacy Inc

  dba Capac Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Capac, MI
  • NPI 1346358710
  NPD

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1679881189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15090 IDLEWILD RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28104",
            "telephone_number": "704-882-4051",
            "fax_number": "704-882-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15090 IDLEWILD RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281043653",
            "telephone_number": "704-882-4051",
            "fax_number": "704-882-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCACCIO",
        "first_name": "ABBY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "HUSTON",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carly Lewallen Bowles, PA-C
• Adam Michael Boyer, CST
• Julia Michelle Brader, PA-C
• Edward A. Bradford, M.D.
• Sarah Elizabeth Bragg, PA-C
• Bredy Physical Therapy and Sports Rehab, LLC
• Yonel Bredy Jr., DPT
• Debbie Ann Breen
• Meredith Louise Brehm
• Luz Brett

• Pharmacist in Matthews, NC
• Providers in Matthews, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.