Active NPI
Kathleen Alice Brauen, PHARM D
- Pharmacist
- Medina, NY
National Provider Identifier
1689890220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048652
- Practice address
- 200 Ohio St
Medina, NY 14103-1063 - Phone
- (585) 798-2000
- Fax
- (585) 798-8066
- NPI assigned
- Apr 18, 2007
- Last updated
- May 8, 2018
- Sex
- Female
- 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 | 048652 | NY | Primary |
Addresses
Primary practice location
200 Ohio St
Medina, NY 14103-1063
Mailing address
4220 Orangeport Rd
Gasport, NY 14067-9251
Phone (716) 289-4055
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
| License | State | Type | Specialty |
|---|---|---|---|
| 048652 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1689890220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 ORANGEPORT RD",
"city": "GASPORT",
"state": "NY",
"postal_code": "140679251",
"telephone_number": "716-289-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OHIO ST",
"city": "MEDINA",
"state": "NY",
"postal_code": "141031063",
"telephone_number": "585-798-2000",
"fax_number": "585-798-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUEN",
"first_name": "KATHLEEN",
"middle_name": "ALICE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.