Active NPI
Jason Branfort, RPH
- Pharmacist
- Concordia, KS
National Provider Identifier
1689074908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11785
- Practice address
- 140 E College Dr
Concordia, KS 66901-5206 - Phone
- (785) 243-2805
- Fax
- (785) 243-2524
- NPI assigned
- Aug 25, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11785 | KS | Primary |
Addresses
Primary practice location
140 E College Dr
Concordia, KS 66901-5206
Mailing address
140 E College Dr
Concordia, KS 66901-5206
Phone (785) 243-2805
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11785 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Eastvale, CA
- NPI 1770458945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1689074908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 E COLLEGE DR",
"city": "CONCORDIA",
"state": "KS",
"postal_code": "669015206",
"telephone_number": "785-243-2805",
"fax_number": "785-243-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E COLLEGE DR",
"city": "CONCORDIA",
"state": "KS",
"postal_code": "669015206",
"telephone_number": "785-243-2805",
"fax_number": "785-243-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANFORT",
"first_name": "JASON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "11785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concordia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.