Timothy Kelvin Brandon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202210057 Issued in VA

Practice address

2601 George Washington Mem Hwy
Yorktown, VA 23693-3409

Phone

(757) 867-8281

Fax

(757) 867-9580

NPI assigned

Oct 26, 2020

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1720688161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WOODBURN DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236641962",
            "telephone_number": "757-593-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GEORGE WASHINGTON MEM HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933409",
            "telephone_number": "757-867-8281",
            "fax_number": "757-867-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "TIMOTHY",
        "middle_name": "KELVIN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Ernest Booker, DDS
• Ruth Renee Borchelt
• Beshoy B Botros, PHARM. D.
• Tammy H Bouchard, LPTA
• Michael Warren Bowler, D.D.S.
• Lakeisha Branham
• Korytt Brito
• Quinn Brock
• Laura Lee Bronstein, LCSW
• Carmel Ann Brown, RDN

• Pharmacist in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.