Brianna Blevins, CPHT
Individual provider Active NPI Pharmacist · Gap, PA
NPI 1700516697 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1700516697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 30186734 (PA)
- Practice address
- 5360 Lincoln Hwy Ste 1
Gap, PA 17527-9460 - Phone
- (717) 442-9448
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30186734 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30186734 | PA | Yes |
Addresses
Primary practice location
5360 Lincoln Hwy Ste 1
Gap, PA 17527-9460
Mailing address
5360 Lincoln Hwy Ste 1
Gap, PA 17527-9460
Other providers in Gap, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.