Individual provider Active NPI

James Jerome Brehany III, BS, PHARMD

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1750648473
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31287 Issued in CA
Practice address
200 Stevens Dr
4TH Floor, Pharmacy Services
Philadelphia, PA 19113-1522
Phone
(352) 216-6629
NPI assigned
Apr 19, 2012
Last updated
Apr 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 07099 NV
Pharmacist 183500000X 31287 CA Primary

Addresses

Primary practice location

200 Stevens Dr
4TH Floor, Pharmacy Services
Philadelphia, PA 19113-1522

Mailing address

2152 NW 165TH St
Citra, FL 32113-2931

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
07099NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1750648473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 NW 165TH ST",
            "city": "CITRA",
            "state": "FL",
            "postal_code": "321132931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STEVENS DR",
            "address_2": "4TH FLOOR, PHARMACY SERVICES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191131522",
            "telephone_number": "352-216-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREHANY",
        "first_name": "JAMES",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "BS, PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "07099",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "31287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.